- Zurich NA (Dallas, TX)
- …in handling claims in litigation + Experience in corresponding with state departments of insurance + Effective verbal and written communication skills + Ability ... Commercial Property Claims Handler 126576 At Zurich North America ...of the insured. + Ensure legal compliance by following state and federal laws and regulations and internal control… more
- Zurich NA (Addison, TX)
- Commercial Property Claims Specialist II 126575 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes ... Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims...of the insured. + Ensure legal compliance by following state and federal laws and regulations and internal control… more
- Molina Healthcare (Fort Worth, TX)
- …excellent customer service; documents calls and interactions. + Assists in the reviews of state or federal complaints related to claims . + Supports the other ... and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. **Job Qualifications** **REQUIRED EDUCATION:** Associate 's Degree or… more
- Allied Solutions (Plano, TX)
- …as assigned. This position will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim documentation is ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...evaluation process; + Ability to interpret and comply with all regulatory mandates within individual jurisdictions, including state… more
- Molina Healthcare (Dallas, TX)
- …with cost control standards. **KNOWLEDGE/SKILLS/ABILITIES** + Evaluates the adjudication of claims using standard principles and state specific policies and ... of claims . + Manages a caseload of claims . Procures all medical records and statements...Diploma or GED **Required Experience** 1-3 years **Preferred Education** Associate degree or equivalent combination of education and experience… more
- Molina Healthcare (San Antonio, TX)
- …indicators (KPI's) with multiple targets depending on Medicare Program and State requirements. **Job Qualifications** **Required Education** Associate 's degree ... including 2 years in a manager role. * Experience reviewing all types of medical claims (eg CMS 1500, Outpatient/Inpatient, Universal Claims , Surgery,… more
- Molina Healthcare (Houston, TX)
- …resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- USAA (San Antonio, TX)
- …Be part of what truly makes us special and impactful. **The Opportunity** It is all about learning and growing. Our Associate Auto Adjuster role may be a ... fully paid four-month training (12 week training) program includes all training materials, licensing costs, class discussions, hands-on training,...include the end-to-end claims process and settling claims in compliance with state laws and… more
- Walmart (Fort Worth, TX)
- **Position Summary ** **Are you currently a Walmart associate ?** Please login to your Workday account and use the Find Jobs report to apply for this job. + Find Jobs ... buildings and food safety audits Creates audit reports Acts as an associate interface for workers compensation issues Obtain necessary records Analyzes and reports… more
- NTT DATA North America (Plano, TX)
- …organization, apply now. We are currently seeking a HC and Insurance Operations Associate to join our team in Plano, Texas (US-TX), United States (US). Roles ... and Responsibilities: * Process Adjudication claims and resolve for payment and Denials * Knowledge...co-pay, out of pocket, maximum inside limits and exclusions, state variations * Ensuring accurate and timely completion of… more