- Oracle (Austin, TX)
- …grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for ... developing the Claim Denial Prevention and Appeals features of Oracle Health...validation) to lead the appeals initiative to review denied claims , create write-ups for appeals packets, identify trends/improvement opportunities… more
- Molina Healthcare (Dallas, TX)
- …7am-3:30pm PST M-F** **Job Summary** Responsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, focal, audit the ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- Sedgwick (Houston, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and… more
- Allied Solutions (Plano, TX)
- Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. ... of 20-40 claims per day. This position ensures that all claim documentation is thoroughly reviewed and assessed for coverage application. This position will… more
- Wells Fargo (San Antonio, TX)
- **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Associate Manager in the Claims Assistance Center (CAC) - Credit Card Phones, as part ... you will:** + Supervise a team of specialists within a fraud and claims program for proactive fraud identification, prevention, and detection, as well as ensuring… more
- Zurich NA (Addison, TX)
- Senior Professional Liability Claims (Attorney), Claims Construction 129572 **Zurich North America is expanding its nationwide Construction Professional ... Liability Claims Team with the addition of a dedicated ...expertise and strategic coordination. + Accurately update and document claim files in accordance with best practices, ensuring data… more
- NTT DATA North America (TX)
- …people who work here. NTT DATA, Inc. currently seeks a **Coordination of Benefits (COB) Associate ** to join our team. Our Client is one of the leading Health Plans ... coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound...for this role include:** + 3+ years of medical claims processing experience + 5+ years of experience using… more
- Zurich NA (Addison, TX)
- …Apprentice (including an Associate Degree) with 3+ years of experience in Claims or InsuranceOR + Completion of the Zurich Claims Training Program with ... Auto Claims Specialist II 128801 Zurich North America is...reserving process for indemnity and expense to analyze potential claim exposure + Skill in developing and executing negotiation… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong knowledge of ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer support duties that… more
- Sedgwick (Austin, TX)
- … claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you looking for… more