Insurance Claims

Insurance Claims Finance Jobs

4 jobs found

Today

Claims Specialist (Registered Nurse)

Christus Health Tyler, TX

Tyler, TX

Today

Full time Claims Management Healthcare Claims Insurance

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Job Description

CHRISTUS Health is seeking a Regional Claims Specialist (Registered Nurse) to represent the organization, its facilities, and providers across claims-related matters. Based in Tyler, TX (onsite), this role supports the Vice President of Litigation and the Claims Team in investigating, managing, resolving, and defending disputes, including matters that move from pre-litigation into active litigation.

The position also serves as a liaison to affiliated health care centers, connecting clinical insight with risk and legal strategy while helping the team evaluate complaints, support defense efforts, and contribute to ongoing quality and risk improvement.

Key Responsibilities

Meets expectations of the applicable OneCHRISTUS Competencies, including Leader of Self, Leader of Others, or Leader of Leaders.
Supports the Vice President of Litigation, other Clinical Regional Claims Managers, and the Claims Team in investigating, managing, resolving, and defending liability events, claims, appeals, arbitrations, and related disputes.
Evaluates and investigates patient and claimant complaints and demands, providing recommendations for handling and, when appropriate, conducting on-site provider interviews.
Prepares privileged work product reports that include clinical analysis, along with recommendations to support case handling.
When within designated authority, negotiates settlements and prepares settlement agreements using language approved by the CHRISTUS Vice President of Litigation.
Attends depositions, trials, hearings (as needed), and mediations; negotiates settlements at mediation or directly with claimant or plaintiff’s counsel within designated authority; drafts settlement agreements and performs analysis of MMSEA issues.
Identifies and evaluates trends through report analysis of quality and risk issues to help reduce preventable adverse occurrences, and prepares presentations for facility leadership on trends and improvement recommendations.
Investigates assigned Events, UPLE, Injured Asserts, Attorney Asserts, Medical Review Panels, and Suits.
Provides oversight of defense of claims in collaboration with defense counsel and defense teams.
Recommends reserves and adjustments based on follow-up investigation findings.
Delivers liability analysis and investigative support to defense counsel as litigation is commenced.
Prepares status reports and other presentations for active claims based on regional assignments.
Monitors trials, mock trials, jury studies, and depositions, then provides analysis and recommendations regarding litigation management to the Vice President of Litigation.
Monitors and participates in MMSEA compliance and reporting with support of internal and external counsel.
Monitors Outside Counsel compliance with guidelines and billing requirements.
Interacts regularly with external attorneys regarding oversight and management of claims and litigation matters.
Coordinates, plans, and participates in facility claims reviews.
Participates in teaching events across the system as needed, including teaching nursing residents on matters related to legal claims.
Participates in risk management surveys of facilities.

Qualifications

BSN required
RN required
3 to 5 years in a health care setting with exposure to clinical care, risk management, or operations
Some legal experience (for example, Paralegal or Legal Nurse Consultant) preferred
Paralegal Certificate preferred; JDs will be considered
Adjuster licensure and/or CPHRM certification a plus
Organizational, leadership, and problem-solving skills
Computer literacy; PowerPoint/Excel skills a plus
Demonstrated organizational and interpersonal skills
Enjoys teaching and public speaking

Work Details

Location: Tyler, TX (onsite)
Work type: Full Time
Schedule: 5 Days - 8 Hours
Travel: 25-30%

Tools and Technologies

PowerPoint
Excel

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Today

Claims Specialist (Registered Nurse) - Risk Finance

Christus Health Irving, TX

Irving, TX

Today

Full time Claims Management Healthcare Claims Healthcare Claims Analytics

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Job Description

The CHRISTUS Regional Claims Specialist (Registered Nurse) represents CHRISTUS Health and its facilities and providers in the investigation, management, resolution, and defense of claims and disputes. This onsite role supports the Vice President of Litigation and the Claims Team, including work in pre-litigation and active litigation settings across affiliated health care centers.

Based in Irving, TX, the position partners clinical knowledge with legal claim management, from complaint review and investigative reporting to deposition, trial, mediation, and settlement documentation within designated authority.

Key Responsibilities

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Supports the Vice President of Litigation, other Clinical Regional Claims Managers, and the Claims Team with the investigation, management, resolution, and defense of liability events, claims, appeals, arbitrations, and other disputes.
Evaluates and investigates patient and claimant complaints and demands, including on-site provider interviewing when needed, and communicates handling recommendations.
Prepares privileged work product reports with clinical analysis and provides recommendations to the team.
When appropriate, negotiates settlements within designated authority and prepares settlement agreements using settlement agreement language approved by the CHRISTUS Vice President of Litigation.
Attends depositions, trials, hearings (as needed), and mediations; negotiates settlements at mediation or directly with claimant or plaintiff’s counsel within designated authority; drafts settlement agreements; analyzes MMSEA issues.
Identifies and evaluates trends through reporting analysis of quality and risk issues to help reduce the frequency of preventable adverse occurrences, and prepares presentations to facility leadership with trends and improvement recommendations.
Investigates assigned Events, UPLE, Injured Asserts, Attorney Asserts, Medical Review Panels, and Suits.
Provides oversight of defense activities by coordinating with defense counsel and defense teams.
Recommends reserves and adjustments based on follow-up investigation.
Delivers liability analysis and investigative support to defense counsel at the start of litigation.
Prepares status reports or other presentations for active claims aligned to regional assignments.
Monitors trials, mock trials, jury studies, and depositions, and provides analysis and recommendations regarding litigation management to the Vice President of Litigation.
Monitors and participates in MMSEA compliance and reporting with support from internal and external counsel.
Monitors Outside Counsel compliance with guidelines and billing requirements.
Interacts regularly with external attorneys regarding the oversight and management of claims and litigation matters.
Coordinates, plans, and participates in facility claims reviews.
Participates in system teaching events as needed, including teaching nursing residents on legal claims topics.
Participates in risk management surveys of facilities.
Serves as a liaison to all affiliated health care centers in the investigation, resolution, and defense of claims.

Requirements

BSN required
RN required
3 years minimum experience
Paralegal Certificate preferred; JDs will be considered
Adjuster licensure and/or CPHRM certification is a plus
Must have organizational, leadership, and problem-solving skills
Computer literacy required; PowerPoint/Excel skills are a plus
Demonstrated organizational and interpersonal skills
Enjoys teaching and public speaking

Technologies

PowerPoint
Excel

Work Schedule and Type

Full Time
5 Days - 8 Hours

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26d ago

Orthodontic Insurance/Financial Coordinator

Inspire Orthodontics Littleton, CO

Littleton, CO

26d ago

$22 - $30/hr Full time Accounting Client Relations Client Service

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Job Description

Inspire Orthodontics is looking for an experienced Orthodontic Insurance/Financial Coordinator to support a patient-focused orthodontic administrative team in Littleton, CO. This in-person role centers on managing insurance claims and patient account receivables, while contributing to accurate financial reporting and strong day-to-day service.

If you have a strong accounting foundation, enjoy working with payment entities, and thrive in a team environment, this full-time position (Monday-Friday with half-day Fridays and no weekends) offers a structured path for professional growth within a private practice setting.

Key Responsibilities

Submit and maintain orthodontic insurance claims
Track, manage, and follow up on insurance and patient account receivables
Post payments and contracts
Complete account reconciliation
Process insurance eligibility checks
Complete collection protocol activities
Prepare daily, weekly, monthly, and annual reporting
Support financial planning, reporting, and training with the team
Correspond with payment entities to help ensure accounts are satisfied
Actively support the administrative team through cross-training within your department
Participate in charitable and marketing events
Provide exceptional patient service and experience

Requirements

Optimistic, cheerful, can-do attitude
Passion for providing extraordinary customer service
Team-first mentality
Strong organization skills and the ability to move quickly
Comfort embracing challenge, growth, and change
No fear of technology and computer systems
Detail and accuracy oriented
Uncompromising drive for personal excellence and continuous improvement
Ethical and honest work approach
Contributor to the Greater Good
Lead role position

Office Highlights

Private practice with a team environment
Invested in personal growth of team members and patients
Multiple creative incentives for high performers
Paid personal and professional development
Single location, with no day-to-day traveling required
Full-time schedule: 32-40 hours per week, Monday-Friday, half-day Fridays, no weekends
Retirement benefits available
Health benefits available
Vacations/PTO
Annual “5280 Top Orthodontists” ranking
Annual “Best of the Best” Littleton Orthodontic Office
Participation in charitable causes

Benefits

Health insurance
Paid time off
Professional development assistance
Retirement benefits available
Health benefits available
Vacations/PTO

Job Details

Job type: Full-time
Location: In person, Littleton, CO (onsite)
Work schedule: 32-40 hours per week (Monday-Friday, half-day Fridays, no weekends)
Pay: $22.00 - $30.00 per hour (starting at $22/hour; additional considered with experience)
Minimum experience: 5 years (financial)
Commute/relocation: Littleton, CO 80122 (required)

Application Instructions

Candidates should include a resume and cover letter with your name acronym. Use words that best describe you.

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4mo ago

Insurance/Financial Coordinator(Dental exp is a must!)

Hoff Orthodontics Upland, CA

Upland, CA

4mo ago Closed

Full time Dental Billing Dental Insurance Financial Services

This position is no longer accepting applications (closed Jul 13, 2026).

Job Description

Hoff Orthodontics seeks an Insurance/Financial Coordinator to join their onsite team in Upland, California. In this dental practice, you’ll manage patient and insurance contracts, handle claims and eligibility verification, process payments, and oversee billing and collections. A background in dental settings with strong PPO/collections knowledge is required to support the practice’s financial operations and patient service goals.

Responsibilities

Strong PPO insurance and collections knowledge.
Enter patient/insurance contracts
Submit insurance claims
Verify insurance eligibility
FSA/HSA knowledge is required
Post payments
Complete end of day reports
Collections of delinquent accounts
Assist patients with their financial questions
Answer multi-line phone as needed
Provide morning meeting reports
Execute various other financial coordinator duties as assigned

Requirements

Dental experience required
Strong PPO insurance and collections knowledge
FSA/HSA knowledge required

Benefits

Vacation & Sick pay
401(k)
Health insurance
Dental insurance
Vision insurance
Paid time off
Employee discount
Bonus pay

Job Details

Job Type: Full-time
Location: Upland, CA 91786 (onsite)
Work Location: In person
Ability to Commute: Upland, CA 91786 (Required)
Ability to Relocate: Relocate before starting work (Required)

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Insurance Claims Finance Jobs

Claims Specialist (Registered Nurse)

Claims Specialist (Registered Nurse) - Risk Finance

Orthodontic Insurance/Financial Coordinator

Insurance/Financial Coordinator(Dental exp is a must!)

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