- Molina Healthcare (TX)
- …to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues ... or equivalency **REQUIRED EXPERIENCE:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service experience in a… more
- CVS Health (Austin, TX)
- …it all with heart, each and every day. **Position Summary** The Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized ... handle customer service inquiries and problems. **Key Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Zurich NA (Addison, TX)
- Commercial Property Claims Specialist II 126575 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... American Claims offices: Addison, Schaumburg or Atltanta. The Property Claims Specialist with moderate direction, handles single and multi-party personal… more
- Zurich NA (Addison, TX)
- Litigated Claims Specialist , General Liability 126205 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority ... At Zurich North America, we are seeking a Litigated Claims Specialist to join our high-performing **Commercial...clear, timely communication to customers and stakeholders throughout the claim process. + Ensure claims are handled… 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 ... 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
- 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
- Allied Solutions (Plano, TX)
- …except in the following circumstances: + Internal insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9 months ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...years highly preferred; + Preference given to those with Claim Processor or Claim Specialist … more
- HCA Healthcare (San Antonio, TX)
- …to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our...available documentation, regulations and guidelines to defend the billed claim + Utilize the following resources to identify the… more
- Allied Universal (San Antonio, TX)
- …Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....that suggest fraudulent behavior In relation to an Insurance claim . The SIU Specialist must use their… more
- The Hartford (San Antonio, TX)
- …Join our team as we help shape the future. The Construction Account Specialist (CAS) or Senior Construction Account Specialist (SCAS) provides Risk Engineering ... required + Certified Safety Professional (CSP), Certified Industrial Hygienist (CIH), Associate in Risk Management (ARM), Construction Risk and Insurance … more