- Sedgwick (Irving, TX)
- …payments and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- Sedgwick (Austin, TX)
- …of related experience to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI technical experience including ... or equivalent combination of education and experience required. JURIS or claims management application experience preferred. **Skills & Knowledge** + Demonstrates… more
- Walgreens (Fort Worth, TX)
- …all required documentation for billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment ... and ensure there are corresponding SDL (submit direct link) claims . + Review, research and resolve all third party...+ Process and file all SDL (submit direct link) claims in accordance with company policy. + Processing of… more
- ATI (Dallas, TX)
- …initiatives across the Law Department. Key Responsibilities: Litigation Support & Insurance Claims Management + Assign matters to outside counsel and serve as the ... discovery responses and document productions. + Maintain litigation tracking charts and claim databases to ensure lawyers are informed of case posture and deadlines.… more
- Sedgwick (Irving, TX)
- … for multiple lines of business, including but not limited to, expediting the claims process, and providing detailed claim notes on all calls, resolving issues ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- CVS Health (Austin, TX)
- …review a clinical determination and understand rationale for decision. + Able to research claim processing logic and various systems to verify accuracy of claim ... efforts both internally and across departments to successfully resolve claims research, SPD/COC interpretation, letter content, state or federal regulatory… more
- UTMB Health (Galveston, TX)
- …for diagnosis and procedures. * Sequences diagnoses and procedures to generate clean claims in accordance with the Coding Guidelines based on the type of coding ... service, billing provider, service provider, place of service, referral information and claim form if required. * Attends and participates in coding education… more
- Covenant Health (Lubbock, TX)
- …of claim billed and collected on behalf of Covenant. This individual addresses claim edits, files all claims on either a UB-04 (RHC) or 1500 (835/837 ... file formats) and completes follow-up on outstanding accounts. In addition, this individual identifies functional issues and reports them to the appropriate leader. Providence caregivers are not simply valued - they're invaluable. Join our team at Covenant… more
- Travelers Insurance Company (Houston, TX)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... local expertise and outstanding client service. We handle litigation arising from claims asserted against policyholders or the company and take cases from inception… more
- USAA (San Antonio, TX)
- …**Injury Examiner** , you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to include confirming coverage, ... determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a… more