- Molina Healthcare (Fort Worth, TX)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Southland Holdings (Grapevine, TX)
- …strategic thinking, and problem-solving skills. The manager supports dispute resolution, claims , and contract compliance, serving as a trusted advisor to business ... responses. + Draft formal contract correspondence, including notices and claims , to protect company entitlements. + Collaborate with scheduling and… more
- Caris Life Sciences (Irving, TX)
- …The Accounts Receivable Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid and Commercial insurance companies. This role ... involves following up with insurance companies to check claim status, reviewing medical records request and submitting required...Review insurance denials and take appropriate action. + Check claims status via phone or poral. + Submit Medical… more
- Sedgwick (Fort Worth, TX)
- …& Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; and to ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and operational expense check requests. +… more
- Molina Healthcare (San Antonio, TX)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... + Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable systems. + Participates in defect resolution… more
- Sedgwick (Dallas, TX)
- …General Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Travelers Insurance Company (Austin, TX)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical environment… more
- Allied Universal (Abilene, TX)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Molina Healthcare (Dallas, TX)
- …operations, health plan representatives, and other business teams involved in claim processing. Maintains expertise in all forms of reimbursement methodologies ... release notes to accurately request and analyze impact reports of affected claims . + Analyzes, interprets, and maintains configurable tables and files that support… more
- CCMS & Associates (Amarillo, TX)
- …and commercial field property inspections utilizing Xactimate software + Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses ... other governmental officials as well as inspecting claimed damages + Recommend claim reserves based on investigation, through well-supported reserve report + Obtain… more
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