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Rate Reviewer Jobs in Texas (NOW HIRING)

The Reny Company's bill reviewer is a professional who combines experience in health insurance and ... Responsible for processing a minimum quota per day with an error rate of 98% or better * Increase ...

Sr. Analyst, Rate Management

Irving, TX · On-site

$81K - $108K/yr

... Review customer-facing product content for accuracy and escalate discrepancies as needed • Support the use of AI tools and automation to improve rate management data processing and reporting ...

Sr. Analyst, Rate Management

Irving, TX

$84K - $111K/yr

... Review customer-facing product content for accuracy and escalate discrepancies as needed Support the use of AI tools and automation to improve rate management data processing and reporting accuracy.

Sr. Analyst, Rate Management

Irving, TX · On-site

$84K - $111K/yr

... Review customer-facing product content for accuracy and escalate discrepancies as needed Support the use of AI tools and automation to improve rate management data processing and reporting accuracy.

Sr. Analyst, Rate Management

Irving, TX · On-site

$84K - $111K/yr

... Review customer-facing product content for accuracy and escalate discrepancies as needed Support the use of AI tools and automation to improve rate management data processing and reporting accuracy.

Sr. Analyst, Rate Management

Irving, TX · On-site

$84K - $111K/yr

... Review customer-facing product content for accuracy and escalate discrepancies as needed • Support the use of AI tools and automation to improve rate management data processing and reporting ...

Sr. Analyst, Rate Management

Irving, TX

$84K - $111K/yr

... Review customer-facing product content for accuracy and escalate discrepancies as needed Support the use of AI tools and automation to improve rate management data processing and reporting accuracy.

Flat-Rate Pay: This is a 1099 position where you are paid a set fee for every inspection completed. * Earning Potential: While pay is per-inspection, efficient contractors typically earn the ...

Flat-Rate Pay: This is a 1099 position where you are paid a set fee for every inspection completed. * Earning Potential: While pay is per-inspection, efficient contractors typically earn the ...

Participate in peer review of deliverables before they go to clients - your work will be reviewed and you will review others You will touch every aspect of cybersecurity and GRC work across multiple ...

Review your daily work schedule and ensure truck is loaded with all product(s), tools and equipment for the day. * Complete vehicle safety and job site inspections. * Safely unload and stage material ...

Installer - Piece Rate

Austin, TX · On-site

$13 - $30/hr

Review your daily work schedule and ensure truck is loaded with all product(s), tools and equipment for the day. * Complete vehicle safety and job site inspections. * Safely unload and stage material ...

Showing results 21-40

Rate Reviewer information

What is the difference between Rate Reviewer vs Claims Adjuster?

AspectRate ReviewerClaims Adjuster
Required CredentialsTypically a high school diploma or equivalent; some roles prefer insurance or finance certificationsHigh school diploma or equivalent; often requires state licensing or certification
Work EnvironmentOffice-based, reviewing insurance rates and policiesField and office-based, investigating and settling insurance claims
Employer & Industry UsageInsurance companies, financial institutionsInsurance companies, public agencies
Comparison Search IntentUnderstanding role differences, job requirements, or career pathsComparing job responsibilities, qualifications, or career options

Both roles are integral to the insurance industry, but a Rate Reviewer primarily evaluates and approves insurance rates, while a Claims Adjuster investigates and settles claims. Understanding these differences helps job seekers identify the right career path based on their skills and interests.

What are the key skills and qualifications needed to thrive as a rate reviewer, and why are they important?

To thrive as a Rate Reviewer, you need strong analytical abilities, attention to detail, and a background in finance, insurance, or a related field—often supported by a bachelor's degree. Familiarity with regulatory compliance tools, actuarial software, and data management systems is typically required. Excellent written communication, objectivity, and organizational skills help you navigate complex regulations and present findings clearly. These competencies ensure accurate rate assessments, regulatory compliance, and effective collaboration with stakeholders.

What is a rate reviewer?

Rate Reviewers are professionals who evaluate and analyze proposed rates, often within industries like insurance, utilities, or healthcare. Their primary responsibility is to ensure that rates set by companies are fair, reasonable, and comply with regulatory standards. They review detailed documentation, financial data, and justifications for rate changes to protect consumer interests and maintain industry transparency. Rate Reviewers often work for government agencies, regulatory bodies, or large organizations.

How much does a rate reviewer make?

A rate reviewer typically earns between $40,000 and $70,000 annually, depending on experience, location, and industry. The role often requires attention to detail and familiarity with financial or insurance data, with some positions offering additional benefits or bonuses.

What are some common challenges faced by rate reviewers and how can they be managed effectively?

Rate Reviewers frequently encounter the challenge of analyzing complex data sets and ensuring compliance with evolving regulatory standards. Staying current with industry regulations and maintaining strong attention to detail are essential for success. Effective collaboration with actuaries, underwriters, and regulatory agencies also helps to resolve discrepancies and ensure accurate rate filings. Developing strong analytical and communication skills can help Rate Reviewers address these challenges and contribute to the organization's compliance and profitability.
What cities in Texas are hiring for Rate Reviewer jobs? Cities in Texas with the most Rate Reviewer job openings:

Clinical Rater/ Counselor (Part-time)

Alcanza Clinical Research

Katy, TX • On-site

$54K - $72K/yr

Part-time

Medical, Dental, Vision, Life, Retirement

Re-posted 12 days ago


Job description

Clinical Rater/ Counselor (Part-time)
Department: Operations
Employment Type: Part Time
Location: Olympus - Katy, TX
Reporting To: Mary Rogers
Description
Alcanza is a growing multi-site, multi-phase clinical research company with a network of locations in AL, AZ, FL, GA, IL, MA, MI, MO, NV, VA, SC, TN, TX and Puerto Rico. We have established a strong presence across Phase I-IV studies and several therapeutic areas including vaccine, neurology, dermatology, psychiatry, and general medicine. Join us as we continue to grow.
The Clinical Rater will be responsible for interviewing research participants and their informants/caregivers, who are being evaluated to participate in a research study for various health conditions, in compliance with study protocol, SOPs, GCP, ICH, and FDA Regulations.
Key Responsibilities
Essential Job Duties: Responsibilities may include but are not limited to:
  • Reviewing the subject's medical history, meeting with potential subjects, collecting information through a prescreening interview and discussing with the Study team criteria for eligibility for a particular study.
  • Conducting a variety of psychometric rating scales on subjects with various diagnoses (such as ADHD, Alzheimer's Disease, Bipolar Disorder, GAD, Major Depressive Disorder, Post Traumatic Stress Disorder, Substance Use Disorders, and Schizophrenia/Schizoaffective Disorder) for our clinical trials, in compliance with specific study protocols, FDA, GCP, ICH, and privacy guidelines.
  • Ensuring the subject's safety by responding appropriately to any potential for harm to self or others that are identified through the evaluations performed.
  • Calculating and utilizing rating scale results as appropriate to determine protocol eligibility.
  • Meet with Sponsors, Study Monitors, and Medical Monitors as needed to address questions regarding ratings.
  • Working diligently to maintain consistency in the performance of ratings. Reviewing ratings across studies and subjects to ensure efficacy and consistency.
  • Maintaining source documentation in accordance with ALCOA-C standards and completing all monitor and sponsor queries.
  • Completing all sponsor-assigned training and meetings to obtain rater certification and re-certification per protocols requirements.
  • Attending and successfully completing all company training programs; participating in webinars and other study meetings as needed.
  • Maintaining confidentiality of subjects, customers, and company information.
  • Performing all other duties as requested or assigned.

Skills, Knowledge and Expertise
Minimum Qualifications: A Master's degree AND a 1+ years' experience performing psychometric rating scales in a clinical setting or for clinical trials, or an equivalent combination of education and experience is required. Current or previous certifications to rate the following scales is highly preferred: SCID-5-CT, MINI, LSAS, HAM-A/D, C-SSRS, MADRS, MGH-ATRQ, ISI, CGI, HDRS-17, PANSS, YMRS, ADAS-Cog, CDR, MMSE, ADAS-COG, CDR, RBANS, and MOCA. Bi-lingual (English / Spanish) proficiency is a plus. BLS certification is preferred.
Required Skills:
  • Proficiency with computer applications such as Microsoft applications, email, electronic health records, and web applications, and the ability to type proficiently (40+ wpm);
  • Strong organizational skills and attention to detail.
  • Well-developed written and verbal communication skills.
  • Well-developed interpersonal and listening skills and the ability to work well independently as well as with co-workers, subjects, managers, and external customers.
  • Ability to effectively handle multiple tasks, and adapt to changes in workloads and priorities.
  • Must be professional, respectful of others, self-motivated, and have a strong work ethic.
  • Must possess a high degree of integrity and dependability.
  • Ability to work under minimal supervision, identify problems and implement solutions.
  • Ability to handle highly sensitive information in a confidential and professional manner, and in compliance with HIPAA guidelines.

Benefits
  • Full-time employees regularly scheduled to work at least 30 hours per week are benefits-eligible, with coverage starting on the first day of the month following date of hire.
  • Medical, dental, vision, life insurance, short and long-term disability insurance, health savings accounts, supplemental insurances, and a 401k plan with a safe harbor match are offered.