- Guardian Life (Austin, TX)
- As the ** Claims Case Manager I** , **Supplemental Insurance,** you will be responsible for Accident and Hospital Indemnity claim decision making according to ... and decisions via telephone and in writing + Prioritize and review new claims to adhere to established departmental turnaround times + Meet productivity requirements… more
- Providence (TX)
- …must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, ... take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims ...roundtables + Assist in Regional CEO Conferences with Senior Manager Operations + Facilitate and participate in case… more
- USAA (San Antonio, TX)
- …of what truly makes us special and impactful. **The Opportunity** As a dedicated Manager , Claims Operations, you will lead and be accountable for property, and ... + Bachelor's or advanced degree + Knowledge of property claims contracts and interpretation of case law + Knowledge of Xactimate, Xactanalysis and Xact Contents… more
- Zurich NA (Austin, TX)
- …the loss falls within the coverage. + Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues ... Marine Claims Specialist II 126114 Zurich North America is...assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager - Registered Nurse (RN) position is with Aetna's National Medical ... Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or...and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case… more
- CVS Health (Austin, TX)
- …compassionate. And we do it all with heart, each and every day. **Position Summary:** The Case Manager RN role is 100% remote work from home and candidates must ... No travel is expected with this position. The RN Case Manager is responsible for telephonically and/or...and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case… more
- CVS Health (Austin, TX)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** This Case Manager RN role is with the Costco Team and is fully remote; ... **No weekends or holidays will be required** . The Case Manager RN is responsible for telephonically...and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case… more
- Public Consulting Group (Austin, TX)
- …Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost ... safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case ...management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of… more
- Sedgwick (Houston, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **This Field Case Manager will cover our ... be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Elevance Health (Grand Prairie, TX)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more