Claims Adjuster Job Listing at Kelly Services in Dallas, TX (Job ID US3599724_BH9958638)

Description

Job Title: Claims Adjuster – Texas 

Job Type: Full-Time
Location: Dallas, TX 
Industry: Healthcare / Insurance

Position Summary

We are seeking an experienced and detail-oriented Claims Adjuster to join our team. The ideal candidate will be responsible for investigating, evaluating, and resolving a variety of healthcare-related claims. This role requires strong analytical skills, a working knowledge of Texas non-subscription claims, and the ability to manage claims efficiently and compliantly.

Key Responsibilities

• Investigate, evaluate, and resolve claims in accordance with Texas state laws and internal guidelines

• Handle a caseload of Texas non-subscription claims with accuracy and timeliness

• Review medical records, billing codes, and supporting documentation to assess claim validity

• Communicate professionally with claimants, providers, insurers, and internal departments

• Maintain detailed claim files, document claim activities, and update claim systems

• Identify potential fraud and escalate when necessary

• Ensure compliance with Texas All Lines Adjuster License regulations and company policies

• Participate in claim reviews, audits, and reporting activities as needed

Qualifications

• Active Texas All Lines Adjuster License (required)

• Prior claims experience (2+ years preferred)

• Experience handling Texas non-subscription claims (required)

• Strong knowledge of medical billing, coding, and terminology (preferred)

• Excellent communication, negotiation, and organizational skills

• Proficient in claims management software and Microsoft Office Suite

• Ability to manage multiple priorities in a fast-paced environment

As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.

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About Kelly

Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.

Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

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