Medical Claims Review Manager jobs in Beaumont, TX

Medical Claims Review Manager oversees the performance, productivity, and quality of the medical claims review staff. Responsible for hiring, training, and firing medical claims review staff. Being a Medical Claims Review Manager evaluates medical claims review processes and recommends process improvements. Serves as a technical resource for all medical review workers. Additionally, Medical Claims Review Manager typically requires an RN or BSN. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Claims Review Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Claims Review Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Field Adjuster  – Property/Casualty – Beaumont, TX
  • Brezina Claims
  • Beaumont, TX FULL_TIME
  • Field Adjuster - Property/Casualty - Beaumont, TX

    3/6/2024

    As a Multi-line Adjuster for Brezina Claim Associates, Inc., you will serve as a field investigation representative knowledgeable of the entire claims process. You will provide claims investigative service and technical expertise regarding physical damage losses and injury claims. You will appraise, evaluate, negotiate and equitably settle first and third party property damage and bodily injury losses in accordance with the terms and conditions of corporate guidelines, policy contracts and existing insurance laws and regulations.

    Qualified candidates need to possess:

    • High school diploma or equivalent.
    • 2 years of relevant adjusting and physical damage appraisal experience.
    • Experience and/or working knowledge of estimating and total loss evaluation systems.
    • Current knowledge of property damage repair process.
    • Computer literacy in a Windows operating environment.
    • Texas P&C adjuster’s license.
    • General understanding of liability assessment and relevant claims processes.
    • Driving record verifiable through MVR.
    • Ability to regularly lift 30 lbs.

    Preferred experience includes:

    • Bachelor’s degree
    • Knowledgeable of Xactimate estimating platform.
    • Ability to complete on site inspections in most weather conditions.
    • Willingness to handle volume in outlying areas that may deem extended hours.
    • ICAR certification.

    Qualified applicants must successfully complete a pre-employment background.

    Brezina Claim Associates, Inc. is an Equal Opportunity Employer.

  • 1 Month Ago

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Auto Damage Photo Runner
  • Volta Claims Service
  • Livingston, TX FULL_TIME
  • Get paid to snap photos of cars at your own schedule! No experience needed!Who we are:Volta is Texas-based firm that provides a wide array of claims support and inspection services for self-insured fi...
  • 21 Days Ago

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Auto Damage Photo Runner
  • Volta Claims Service
  • Woodville, TX FULL_TIME
  • Get paid to snap photos of cars at your own schedule! No experience needed!Who we are:Volta is Texas-based firm that provides a wide array of claims support and inspection services for self-insured fi...
  • 24 Days Ago

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Auto Damage Photo Runner
  • Volta Claims Service
  • Zavalla, TX FULL_TIME
  • Get paid to snap photos of cars at your own schedule! No experience needed!Who we are:Volta is Texas-based firm that provides a wide array of claims support and inspection services for self-insured fi...
  • 24 Days Ago

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Review clerk
  • TTEC
  • Beaumont, TX FULL_TIME
  • Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to b...
  • 18 Days Ago

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Review clerk
  • TTEC
  • Vidor, TX FULL_TIME
  • Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to b...
  • 18 Days Ago

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0 Medical Claims Review Manager jobs found in Beaumont, TX area

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Remote Licensed Clinical Social Worker
  • Headway
  • Beaumont, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/23/2024 12:00:00 AM

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Remote Licensed Clinical Psychologist
  • Headway
  • Beaumont, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Beaumont, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Beaumont, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Beaumont, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Beaumont, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Beaumont, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Beaumont, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

Beaumont (/ˈboʊmɒnt/ BOH-mont) is a city in and the county seat of Jefferson County, Texas, in the United States, within the Beaumont–Port Arthur Metropolitan Statistical Area. Located in Southeast Texas on the Neches River about 85 miles (137 km) east of Houston (city center to city center), Beaumont had a population of 117,267 at the time of the 2010 census, making it the thirtieth-most populous city in the state of Texas. Beaumont was founded as a town in 1835. The early European–American settlement had an economy based on the development of lumber, farming, and port industries. In 1892, Jo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$94,157 to $120,051
Beaumont, Texas area prices
were up 1.2% from a year ago

Medical Claims Review Manager in Paramus, NJ
Support management with leading Medical Review team to ensure all types of claims requiring medical reviews are completed in compliance with State, Federal, accreditation standards and other applicable regulations.
February 01, 2020
Medical Claims Review Manager in Nashua, NH
By truly combining claims and bill review, the two systems are kept in sync utilizing the scheduled jobs of the aforementioned standard model; however, for real-time data updates, claims examiners are granted access to the entire live bill review system.
January 13, 2020
Medical Claims Review Manager in Davenport, IA
Complex claim errors can only be caught by physician reviewers with the clinical experience to spot mistakes that automated systems can’t detect.
January 03, 2020