- Molina Healthcare (Houston, TX)
- …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 ... prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage… more
- Molina Healthcare (Austin, TX)
- … claims adjusting and customer services experience Experience in QNXT, Salesforce, Claims Viewer, Claim Shark, PEGA, Cotiviti, ECHO, CEMs Edifecs **PHYSICAL ... Description** **Job Summary** Responsible for work load assignment to the provider Claims adjudicators and senior provider claims adjudicators. Train and coach… more
- Zurich NA (Addison, TX)
- Commercial Auto Claims Manager 126571 Zurich is currently looking for an Auto Claims Manager to work out of any of our larger Claims Offices in the United ... leader who willlead and direct a team of technical Claims Professionals in low to high-exposure claims ...in analyzing coverage, liability, and damages for commercial casualty claim + Experience in oversight in handling and managing… more
- Zurich NA (Addison, TX)
- Legal Claims Professional - Financial Lines 126698 Zurich is currently looking for multiple Legal Claims Professionals for our growing Management Solutions group ... to work out of any of our Claims offices throughout the US. If you are ready...rights and coverage denial letters + Notify Underwriter of claim issues + Draft case summary reports in connection… more
- Zurich NA (Austin, TX)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our Complex ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more
- NTT DATA North America (Plano, TX)
- …DATA and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate ** to work for our end client and their team. **In this ... candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding ... coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in a timely fashion and in… more
- Zurich NA (Addison, TX)
- Occupational Accident Claims Specialist 126744 Zurich is currently looking for an Occupational Accident Claims Specialist I to handle disability and medical ... accident claims within the Life, Accident, and Health Business Unit....area OR + Zurich Certified Insurance Apprentice including an Associate Degree and 2 or more years of experience… more
- Molina Healthcare (Fort Worth, TX)
- …and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. **Job Qualifications** **REQUIRED EDUCATION:** Associate 's Degree or ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating,… more
- Zurich NA (Dallas, TX)
- General Liability Claims Specialist I 126145 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to ... Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims...area OR + Zurich Certified Insurance Apprentice including an Associate Degree with 2 or more years of experience… more