- Zurich NA (Addison, TX)
- Occupational Accident Claims Specialist 126744 Zurich is currently looking for an Occupational Accident Claims Specialist I to handle disability and ... As part of our team, you will manage a claims caseload of low to moderate complexity, interpret policy...area OR + Zurich Certified Insurance Apprentice including an Associate Degree and 2 or more years of experience… more
- Zurich NA (Addison, TX)
- General Liability Litigated Claims Specialist 126205 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... At Zurich North America, we are seeking a Litigated Claims Specialist to join our high-performing **Commercial...or InsuranceOR + Zurich Certified Insurance Apprentice, including an associate degree, with 3+ years of experience in Commercial… more
- Zurich NA (Dallas, TX)
- General Liability Claims Specialist I 126145 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... our General Liability team. As a General Liability (GL) Claims Specialist , you will work with a...area OR + Zurich Certified Insurance Apprentice including an Associate Degree with 2 or more years of experience… more
- Zurich NA (Austin, TX)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more
- Molina Healthcare (Houston, TX)
- …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 ... resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to… more
- Ascension Health (Austin, TX)
- …by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. + ... agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals using support systems to determine appeal outcomes. + Composes all… more
- Allied Solutions (Plano, TX)
- Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This ... This position will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim documentation is thoroughly… more
- Molina Healthcare (Austin, TX)
- …to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues ... **I** **E** **N** **C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service experience in a managed… more
- Molina Healthcare (Dallas, TX)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. * ... Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have… more
- UTMB Health (Galveston, TX)
- Sr. Patient Account Specialist - Revenue Cycle Financial Clearance **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health Requisition ... # 2504624 **Minimum Qualifications** Minimum Qualifications: Associate degree or equivalent. Minimum of three years patient accounts experience. Minimum of two years… more