resolution assurance specialist

worker's comp/claims examiner iii Jobs in Irving

worker's comp/claims examiner iii

workers compensation claims examiner Jobs in Irving

workers compensation claims examiner

workers’ compensation claims adjuster (texas) Jobs in Irving

workers’ compensation claims supervisor Jobs in Irving

ar claims specialist

GOOD SPORTSMAN MARKETING

<div>Description:

Job Purpose: To manage outstanding AR and work with customers to secure payments on delinquent accounts. Research and resolve account discrepancies with large box retailers.
An individual must be able to successfully perform the essential functions of this position with or without a reasonable accommodation.
Summary of Essential Job Duties<ul><li>
Utilize Customer Portals to research and dispute discrepancies</li><li>
File/Maintain Claims on Customer Portals and Spreadsheets</li><li>
Contact Customers by email to collect outstanding debt</li><li>
Research and locate documentation to aid in disputing discrepancies</li><li>
Send statements and reconcile accounts</li><li>
Assist with billing as needed
</li><li>Export data to Microsoft Excel and manipulate data within the spreadsheet</li><li>
Communicate progress with supervisor on a weekly basis</li><li>
Perform other duties as assigned</li></ul>
Requirements:

Skills/Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactory. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.<ul><li>
Excellent listening, oral and written communication skills</li><li>
Strong organizational and time management skills</li><li>
Must demonstrate the ability to clearly and professionally express ideas to audiences of varying levels, including coworkers, supervisors and executives.</li><li>
Ability to work well with others</li><li>
Ability to work independently with high level of production</li><li>
Collaborative team player proactively engage others to generate ideas to audiences of varying levels including coworkers, supervisor and executives.</li><li>
Strong computer skills</li><li>
Strong working knowledge of Microsoft Office applications, specifically Outlook and applies feedback</li><li>
Resourceful individual who seeks and applies feedback</li></ul>
Required Education and Experience:<ul><li>
High school diploma or equivalent required</li><li>
Excellent decision making skills; critical thinker by nature with great attention to detail</li><li>
Some experience with Accounts Receivable and accounting software preferred</li><li>
Prior experience working with Amazon and Walmart Customer Portals a plus</li></ul></div>

AR Claims Specialist

TEEMA Group

<div><h2 class="jobSectionHeader">Workers&rsquo; Compensation Claims Examiner III</h2>
 Irving, TX (On-Site) 
 $36.53 &ndash; $38.46 per hour 
 Contract: 3&ndash;4 Months (Potential Extension)<h3 class="jobSectionHeader">
Overview</h3>
We are seeking an experienced Workers&rsquo; Compensation Claims Examiner III to join a high-volume claims environment in Irving, Texas. This position is fully on-site and requires in-office attendance five (5) days per week.
The ideal candidate will have strong expertise handling Texas Workers&rsquo; Compensation indemnity claims and the ability to manage claims from inception through resolution with minimal supervision. This role requires excellent organization, regulatory knowledge, and the ability to collaborate with internal teams, claimants, employers, and legal representatives.
This is a great opportunity for an experienced claims professional seeking exposure within a large, well-established organization.<h3 class="jobSectionHeader">
What You Will Be Doing</h3><ul><li>Manage Texas Workers&rsquo; Compensation loss-time claims from inception through closure</li><li>Investigate claims to determine compensability and coverage</li><li>Administer indemnity and medical benefits in accordance with Texas Workers&rsquo; Compensation regulations</li><li>Evaluate claim exposure and maintain accurate claim documentation</li><li>Prepare formal captioned reports and maintain compliant claim files</li><li>Communicate professionally with claimants, employers, attorneys, and internal stakeholders</li><li>Assist employers and injured workers in understanding the Workers&rsquo; Compensation process</li><li>Ensure claims handling follows internal best practices and client guidelines</li><li>Maintain strong organization while managing a high-volume caseload</li><li>Deliver excellent customer service throughout the entire life of the claim</li></ul><h3 class="jobSectionHeader">
What You Must Have</h3>
✔ Active Texas Workers&rsquo; Compensation Adjuster License 
✔ 5+ years of Texas Workers&rsquo; Compensation claims handling experience 
✔ Experience handling loss-time claims 
✔ Experience with public entity and First Responder claims preferred 
✔ Strong understanding of Texas Workers&rsquo; Compensation laws and regulations 
✔ Excellent written and verbal communication skills 
✔ Ability to manage multiple claims in a fast-paced environment 
✔ High School Diploma or GED required 
✔ Bachelor&rsquo;s Degree preferred<h3 class="jobSectionHeader">
Work Environment</h3><ul><li>Full-time on-site role (no remote or hybrid)</li><li>Collaborative office environment</li><li>Daily interaction with internal teams and external stakeholders</li><li>Use of standard office equipment including computer systems and claims management software</li></ul><h3 class="jobSectionHeader">
Additional Requirements</h3><ul><li>Ability to pass background check and drug screening</li><li>Must be authorized to work in the United States</li></ul><h3 class="jobSectionHeader">
Apply Today</h3>
If you are an experienced Texas Workers&rsquo; Compensation Claims Examiner looking for an opportunity to contribute your expertise in a fast-paced claims environment, we encourage you to apply today.
Email your resume
mpalkin@teemagroup.com
#Workwolf</div>

Workers Compensation Claims Examiner

<div><h3 class="jobSectionHeader">Role Summary</h3>
The Workers&rsquo; Compensation Claims Supervisor is a key leadership role responsible for guiding and overseeing a high-performing claims team in a fast-paced, compliance-focused environment. This position offers the opportunity to combine deep technical expertise in Texas workers&rsquo; compensation with hands-on leadership, mentorship, and client engagement. The Supervisor ensures accurate claims handling, regulatory compliance, exceptional service delivery, and continuous professional development of staff, while serving as a trusted resource for clients and internal partners.
This is an ideal opportunity for an experienced claims leader who thrives in an in-office setting, values accountability and collaboration, and enjoys driving both operational excellence and team success.
<h3 class="jobSectionHeader">Key Duties &amp; Responsibilities</h3><ul><li>
Supervise, mentor, and support Claims Examiners, Claims Assistants, and administrative staff</li><li>
Monitor attendance, performance, evaluations, and address disciplinary matters as needed</li><li>
Review claims activity, including initial reviews, ongoing case management, delays, and denials</li><li>
Approve reserve changes up to $250,000 and payments up to $10,000 in accordance with internal guidelines</li><li>
Conduct comprehensive file reviews to ensure compliance with Texas workers&rsquo; compensation laws, client requirements, and internal procedures</li><li>
Coordinate and lead training sessions related to regulatory updates, internal policies, and best practices</li><li>
Ensure caseloads are appropriately staffed, balanced, and managed efficiently</li><li>
Approve priority payments and sign checks as required</li><li>
Respond professionally and promptly to claimant, vendor, and client inquiries or concerns</li><li>
Monitor vendor performance and recommend or implement panel adjustments as necessary</li><li>
Ensure all client servicing instructions are consistently followed</li><li>
Provide coverage for claims examiners during absences or vacancies</li><li>
Prepare, review, and evaluate monthly client reports</li><li>
Facilitate and participate in internal and external audits</li><li>
Conduct and document educational and training sessions for internal teams and external stakeholders</li><li>
Attend client file reviews and meetings as needed</li><li>
Collaborate with leadership and sales/service teams on RFPs and client service initiatives</li><li>
Adhere to Supervisor Best Practice Guidelines</li><li>
Perform additional duties as assigned to support operational and organizational goals</li></ul><h3 class="jobSectionHeader">
Required Qualifications</h3><ul><li>
High School Diploma or GED</li><li>
Minimum of 5 years of supervisory experience within workers&rsquo; compensation claims</li><li>
Active Texas Adjuster&rsquo;s License</li><li>
Strong working knowledge of Texas workers&rsquo; compensation statutes and regulations</li><li>
Solid understanding of medical terminology</li><li>
Proven experience supervising claims staff in a high-volume environment</li></ul><h3 class="jobSectionHeader">
Desired Qualifications</h3><ul><li>
Bachelor&rsquo;s degree in a related field</li><li>
Experience handling Texas public entity and school district claims (highly preferred)</li><li>
Strong analytical and problem-solving capabilities</li><li>
Ability to manage diary systems, prioritize workload, and meet strict deadlines</li><li>
Excellent written and verbal communication skills</li><li>
Ability to clearly explain complex claims information to claimants, clients, and staff</li><li>
Proficiency in Microsoft Word and Excel</li><li>
Demonstrated ability to manage and mentor employees with varying experience levels</li><li>
Strong interpersonal, leadership, and coaching skills</li><li>
Ability to manage stress, multitask effectively, and maintain focus in a deadline-driven environment</li><li>
Positive, professional attitude with a strong sense of urgency and accountability</li></ul><h3 class="jobSectionHeader">
About the Organization</h3>
This opportunity is with a well-established organization specializing in workers&rsquo; compensation and claims administration services. The organization is committed to regulatory excellence, client satisfaction, and fostering a collaborative, professional work environment that supports growth, leadership development, and long-term career success.
<h3 class="jobSectionHeader">Location &amp; Work Type</h3><ul><li>
Location: Irving, Texas</li><li>
Work Type: On-site, in-office role</li></ul>
#Workwolf</div>

Workers’ Compensation Claims Supervisor

<div>We are seeking an experienced Texas Workers&rsquo; Compensation Claims Adjuster to join our team at our Irving, TX office. This role is primarily in-office, five days per week, with limited hybrid flexibility considered only for highly experienced adjusters who live farther from the office and have a proven ability to independently manage Texas claims.
This position requires strong technical knowledge of Texas Workers&rsquo; Compensation laws, confidence attending hearings, and the ability to manage a full caseload with minimal oversight.<h3 class="jobSectionHeader">
Key Responsibilities</h3><ul><li>
Manage a full caseload of Texas Workers&rsquo; Compensation claims from inception through resolution</li><li>
Investigate claims, analyze coverage, determine compensability, and establish reserves</li><li>
Communicate effectively with injured workers, employers, medical providers, and legal representatives</li><li>
Prepare for and attend Workers&rsquo; Compensation hearings as required</li><li>
Ensure compliance with Texas Workers&rsquo; Compensation laws, regulations, and internal guidelines</li><li>
Maintain accurate and timely documentation within claims management systems</li><li>
Provide high-quality customer service while balancing cost containment and fair claim resolution</li></ul><h3 class="jobSectionHeader">
Work Schedule &amp; Location</h3><ul><li>
Primary expectation: In-office, 5 days per week</li><li>
Hybrid consideration may be given based on:<ul><li>
Distance from the Irving office</li><li>
Depth of Texas Workers&rsquo; Comp experience</li><li>
Demonstrated ability to manage claims independently</li></ul></li><li>
Candidates commuting 1 hour or more may be considered for hybrid only if experience level supports it</li></ul><h3 class="jobSectionHeader">
Required Qualifications</h3><ul><li>
Active Texas Workers&rsquo; Compensation Adjuster License<ul><li>
Must provide license number and expiration date</li></ul></li><li>
Minimum 3 years of experience handling Texas Workers&rsquo; Compensation claims<ul><li>
5+ years strongly preferred</li></ul></li><li>
Proven experience managing hearings and complex claims</li><li>
Strong written, verbal, and organizational skills</li><li>
Ability to work effectively in an in-office team environment</li></ul>
If you would like to apply email your resume
mpalkin@teemagroup.com
#Workwolf</div>

Workers’ Compensation Claims Adjuster (Texas)

Cala Sourcing Solutions LLC

<div><h3 class="jobSectionHeader">Workers&rsquo; Compensation Claims Examiner III (Contract)</h3>
Please no 3rd party recruiters, or C2C.
Location: Irving, TX 
Schedule: On-site | Monday&ndash;Friday (5 days/week) - only local candidates will be considered 
Pay Rate: $36.53 &ndash; $38.46 per hour 
Contract Length: 3&ndash;4 months (with potential extension)<h4 class="jobSectionHeader">
About the Role</h4>
We&rsquo;re looking for a seasoned Workers&rsquo; Compensation Claims Examiner III to step into a fast-paced, high-volume environment and take ownership of Texas loss-time claims from start to finish. This role is ideal for an experienced examiner who is confident working independently, thrives in an in-office setting, and understands the importance of accuracy, urgency, and strong communication.
This is a fully on-site position in Irving, TX. Daily in-person collaboration with colleagues and stakeholders is a core part of the role&mdash;remote or hybrid work is not available.<h4 class="jobSectionHeader">
What You&rsquo;ll Be Doing</h4><ul><li>
Handle Texas Workers&rsquo; Compensation indemnity claims from initial intake through resolution</li><li>
Analyze coverage, investigate facts, and make compensability determinations in compliance with Texas statutes</li><li>
Administer indemnity and medical benefits within assigned authority levels</li><li>
Apply internal best practices and client-specific handling guidelines consistently</li><li>
Prepare and maintain detailed, captioned claim reports and documentation</li><li>
Serve as a key point of contact for claimants, employers, attorneys, and internal partners</li><li>
Clearly explain the claims process to employers and injured workers, setting expectations throughout the claim lifecycle</li><li>
Maintain accurate, timely claim files while balancing multiple deadlines</li><li>
Deliver a high level of customer service in a regulated, deadline-driven environment</li></ul><h4 class="jobSectionHeader">
What We&rsquo;re Looking For</h4><ul><li>
Active Texas Workers&rsquo; Compensation Adjuster License (required)</li><li>
5+ years of hands-on Texas Workers&rsquo; Compensation claims experience</li><li>
Prior experience handling public entity and First Responder claims</li><li>
Strong working knowledge of Texas Workers&rsquo; Compensation laws and regulations</li><li>
Excellent written and verbal communication skills</li><li>
Ability to manage a full caseload with minimal supervision</li><li>
High School Diploma or GED required</li><li>
Bachelor&rsquo;s degree in a related field preferred</li></ul><h4 class="jobSectionHeader">
Work Environment &amp; Expectations</h4><ul><li>
100% on-site role in a professional office setting</li><li>
Frequent interaction with internal teams and external stakeholders</li><li>
Use of standard office equipment and claims management systems</li><li>
Consistent, full-time in-office attendance required</li></ul><h4 class="jobSectionHeader">
Additional Requirements</h4><ul><li>
Ability to pass a background check and drug screening</li><li>
Authorization to work in the United States</li></ul>
#Workwolf</div>

Worker's comp/Claims examiner III

CHRISTUS Health

<div>Description 
Summary:
The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this Job is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts. The Job works in a cooperative team environment to provide value to internal and external customers.
 
The associate carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of CHRISTUS Health, and fully supports CHRISTUS Health's Mission, Philosophy, and core values of Dignity, Integrity, Compassion, Excellence, and Stewardship.
Responsibilities: 
<ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
</li><li>Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics.
</li><li>Ensures PFS departmental quality and productivity standards are met.
</li><li>Collects and provides patient and payor information to facilitate account resolution.
</li><li>Responds to all types of account inquiries through written, verbal, or electronic correspondence.
</li><li>Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers. Maintains working knowledge of all functions within the Revenue Cycle.
</li><li>Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution.
</li><li>Meets or exceeds customer expectations and requirements, and gains customer trust and respect.
</li><li>Compliant with all CHRISTUS Health, payer, and government regulations.
</li><li>Exhibits a strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines.
</li><li>Appropriately documents patient accounting host system or other systems utilized by PFS in accordance with policy and procedures.
</li><li>Provide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
</li><li>Must have professional and effective written and verbal communication.
</li></ul><ul><li>Billing
</li><li>Review and work on claim edits.
</li><li>Works payor rejected claims for resubmission.
</li><li>Works reports and billing requests.
</li><li>Demonstrates strong knowledge of standard bill forms and filing requirements.
</li><li>Exhibits and understanding of electronic claims editing and submission capabilities.
</li></ul><ul><li>Collections
</li><li>Collect balances due from payors ensuring proper reimbursement for all services.
</li><li>Identifies and forwards proper account denial information to the designated departmental liaison. Dedicated efforts to ensure a proper denial resolution and timely turnaround.
</li><li>Maintain an active knowledge of all collection requirements by payors.
</li><li>Works collector queue daily utilizing appropriate collection system and reports.
</li><li>Demonstrates knowledge of standard bill forms and filing requirements.
</li><li>Identify and resolve underpayments with the appropriate follow-up activities within payor timely guidelines.
</li><li>Identify and resolve credit balances with the appropriate follow-up activities within payor timely guidelines.
</li><li>Identify and communicate trends impacting account resolution.
</li></ul><ul><li>Cash Reconciliation
</li><li>Ensures all payments are retrieved and posted accurately and timely through reconciliation of patient accounting system and bank statement.
</li><li>Researches submitted cash payments by verifying patient account numbers and appropriate facilities.
</li><li>Monitor and performs cash reconciliation to identify cash posting errors and ensures all receipts are applied and reconciles to daily bank deposit and monthly bank statements.
</li><li>Review and post cash corrections, including resolving patient complaints and inquiries from PFS, Finance, Facilities, and Vendor Partners.
</li><li>Resolve and Research unapplied cash, including continuous follow-up until payment identification is made for application of payment or refund.</li></ul>
Job Requirements: 
Education/Skills
<ul><li>HS Diploma or equivalent years of experience required.
</li><li>Post HS education preferred.
</li></ul>Experience
<ul><li>3-5 years of experience preferred.
</li><li>Experience working within a multi-facility hospital business office environment preferred.
</li><li>College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.
</li><li>Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred.
</li></ul>Licenses, Registrations, or Certifications
<ul><li>None required.</li></ul> 

Work Schedule: 
5 Days - 8 Hours
Work Type: 
Full Time</div>

Patient Financial Representative Senior - Patient Financial Services

Harbor Group Management

Harbor Group Management Company is a multi-billion dollar real estate investment and property management firm. As we continue to grow, we are looking for passionate, goal oriented, creative individuals with an entrepreneurial spirit and great communication skills. Harbor Group is dedicated to outstanding customer service and providing exquisite living experience for our residents.
 
Leasing Specialist
 
Job Title: Leasing Specialist
 
Division: Multifamily
 
Status: Non-Exempt
 
JOB SUMMARY: The Leasing Specialist is responsible for driving occupancy and resident satisfaction in a multi-family community. This role includes showing and leasing apartments to prospective residents, coordinating marketing initiatives, assisting in resident retention efforts, and supporting the Property Manager in daily operations to ensure a positive living experience and strong financial performance.
 
ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following but are not limited to the job specifications contained herein. Additional duties or job functions that can be performed safely may be required as deemed necessary by Harbor Group Management Company.
 
<ul>
<li>Greet prospective residents, conduct property tours, and showcase available apartments and amenities.</li>
<li>Qualify leads, process rental applications, run background and credit checks, and prepare lease documents.</li>
<li>Ensure units are move-in ready by inspecting them before occupancy and coordinating outstanding items with maintenance.</li>
<li>Execute lease agreements and move-in packages, ensuring a smooth onboarding process for new residents.</li>
<li>Design and implement short- and long-term marketing plans to generate traffic and maintain occupancy.</li>
<li>Promote the community via digital platforms such as Craigslist, Facebook, and email campaigns.</li>
<li>Coordinate resident referral programs, employer outreach, and participate in local networking efforts.</li>
<li>Maintain up-to-date knowledge of market conditions, competitor properties, rental rates, and trends.</li>
<li>Support resident retention through excellent customer service and timely response to questions, complaints, and maintenance needs.</li>
<li>Conduct follow-up communication with prospects and new residents to ensure satisfaction.</li>
<li>Participate in lease renewal efforts by preparing renewal documents, engaging with residents, and finalizing lease extensions.</li>
<li>Maintain accurate records of prospect and resident interactions using property management software (e.g., Yardi, OneSite).</li>
<li>Keep guest cards updated and perform follow-ups on all leads.</li>
<li>Assist with rent collection, manage delinquent accounts, and support administrative tasks as assigned by the Property Manager.</li>
<li>Ensure leasing office and tour path are presentable and meet show standards at all times.</li>
</ul>
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
 <ul>
<li>High School Diploma or equivalent.</li>
<li>Minimum one year of experience in leasing, sales, or customer service; property management experience preferred.</li>
<li>Proficient with Microsoft Office and Property Management software experience is a must.</li>
<li>Experience utilizing social media (Facebook, Instagram, etc.) is preferred.</li>
<li>Excellent organizational and communication skills with the ability to manage multiple tasks and deadlines in a fast-paced environment.</li>
<li>Strong attention to detail, problem-solving skills, and the ability to work independently or as part of a team.</li>
<li>Must be customer-service oriented with the ability to interact professionally with residents and vendors.</li>
<li>Flexibility to work weekends if required by the property.</li>
<li>Valid driver’s license required (for operating golf carts if applicable).</li>
</ul>
#LI-DD1
 
Veteran Friendly
 This pre-employment application will be given every consideration, but its receipt does not imply that the applicant will be employed. Each question should be answered in a complete and accurate manner as no action can be taken on this application until all questions have been answered.
 
Harbor Group Management is proudly an Equal Opportunity Employer EOE/M/F/D/V. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability or protected veteran status.

Specialist, Leasing

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