- KPH Healthcare Services, Inc. (Longview, TX)
- …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more
- Hirschbach Motor Lines (Fort Worth, TX)
- …+ Communicating with the Claims Administrator for actual or potential cargo claims . + Creating and maintaining claim files for OS&D issues. + Entering ... as they occur or on the next business day. + Working with the Claims Administrator and Risk Manager to effectively and efficiently handle OS&D situations. + Other… more
- Elevance Health (Grand Prairie, TX)
- …in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies, ... health insurance claims handling and provider network contracting. **How will you...network contracting. **How will you make an impact:** + Claim reviews for appropriate coding, data mining, entity review,… more
- Schlumberger (Houston, TX)
- …matters including but not limited to contract compliance, change management and claim mitigation strategies. Analyzing the basis and extent of change Tracking ... claims and monitoring progress through the claims resolution process. Analyzing claims and identifying merit/validity if any managing disputes, managing… more
- The Hartford (San Antonio, TX)
- CRS I Claims - CQ10AN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means ... customer service by answering customer questions about disability and leave management claims . In this role, you'll help our customers rebuild their lives and… more
- BrightSpring Health Services (Houston, TX)
- …of the pharmacy. + Identifies and resolves issues of denials or follow-up of claims . + Maintains current knowledge of Medicaid claim regulations and processes. + ... Produces reports and keeps management informed of unpaid claims and claims pending follow-up. + Understands all dispensing systems used in the pharmacy and their… more
- Baylor Scott & White Health (Dallas, TX)
- …and civil litigation matters. Reporting to the system Vice President overseeing claims for Baylor Scott & White Health (BSWH). The Director-Assistant General Counsel ... with a dynamic and growing healthcare system. The Dir-AGC will handle pre-litigation claim matters and other risk management issues. It is important for the Dir-AGC… more
- Carrington (Plano, TX)
- …completes the Set-up bankruptcy filings process, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition ... the set-up bankruptcy filings, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of...figures such as Motions for Relief and Proof of Claim figures. * May have signing authority to sign… more
- 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 (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