- Sedgwick (Dallas, TX)
- …develops colleagues, identifies, and manages needed training, and monitors individual claim activities for trends and improvements; provides guidance and support in ... compliance and client policies. Provides guidance on questions from auditors, reviews claim audit information to determine if findings occurred and advises on… more
- Kemper (Dallas, TX)
- …attorney represented injury claims , complex injury claims , and litigated claims . The Litigation Specialist will have advanced claim handling skills and ... **Position Responsibilities:** + Successfully handle any complex coverage or liability claims investigation. + Evaluate complex injury claims and determine… more
- Samsung SDS America (Plano, TX)
- …this position will provide legal advice for a resolution of logistics claims , including those arising out of warehouse operations and transportation, develop and ... maintain SOPs for claims processes, and help file claims with...+ Develop comprehensive reports and analyses for management, including claim reports and ad-hoc assessments + Conduct training sessions… more
- Kemper (Dallas, TX)
- …negotiation skills? Kemper is looking for experienced Represented Bodily Injury Claims Adjusters for our growing teams! This specialized position focuses solely ... on the analysis & negotiation of bodily injury claims that are ordinarily assigned after the initial coverage determination, property damage handling, and… more
- Kemper (Dallas, TX)
- …severity assessment and exposure assignment of newly reported losses to appropriate Claims Adjusters. + Periodically review exposures and pending inventory to ensure ... claims are assigned to personnel with sufficient experience. +...support for establishing appropriate reserves for new and ongoing claim investigations. + Provide technical support for the interpretation… more
- The Hartford (San Antonio, TX)
- …too. Join our team as we help shape the future. The Liability Claim Performance Analytics group is seeking a Performance Analytics Consultant to support operational ... of key processes, continuous improvement initiatives, and changes in trends in Claims . The individual will perform diagnostic analytics to identify underlying causes… more
- Kemper (Mcallen, TX)
- …Arbitration Specialist at Kemper plays a critical role in resolving claims and handling intercompany arbitration cases. This position involves reviewing subrogation ... demands, and moving claims to successful resolution. Additionally, the specialist will respond...: + Review subrogation demands based on liability and claim merits. + Ensure timely notifications and compliance with… more
- Sedgwick (Fort Worth, TX)
- …resolve issues and answer questions. + Accurately and efficiently enters new housing claims into the system. + Monitors inbound email for claim questions, ... for completed and partial stays + Audit hotel folios and related claims for billing accuracy, compliance, and documentation + Verifies and maintains accurate… more
- Molina Healthcare (Fort Worth, TX)
- …and financial outcomes for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Elevance Health (Houston, TX)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines… more