- Sentry Insurance (Austin, TX)
- …customer inquiries on coverage limits, deductibles, etc. to customers. Use different systems to verify the accuracy of the information received. Assist existing ... through Thursday you'll work in office. As a Sentry associate , you will have an in-office workspace and materials...offices located throughout the United States. From sales to claims , and information technology to marketing, we enjoy a… 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. ... claims per day. This position ensures that all claim documentation is thoroughly reviewed and assessed for coverage...This position will also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis,… more
- NTT DATA North America (TX)
- …the potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other ... DATA, Inc. currently seeks a **Coordination of Benefits (COB) Associate ** to join our team. Our Client is one...for this role include:** + 3+ years of medical claims processing experience + 5+ years of experience using… 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. **NOTE** : This is a US ... 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
- NTT DATA North America (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate ** to work for our end client and their team. **Note** ... NTT DATA only. **Role Responsibilities** + 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 (Dallas, TX)
- …experience and knowledge to research and resolve claim /encounter issues, pended claims and facilitate system update(s) as necessary. + Works with fluctuating ... claims databases. Synchronizes data among operational and claims systems and application of business rules...housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- Marriott (Plano, TX)
- …years claims adjusting or equivalent/relevant experience. _Preferred_ Knowledge of claims processing. Applicable industry licensing. Associate in Claims ... and Procedure Manual requirements Effectively utilize the Valley Oaks System (iVOS) to manage all claims electronically...Valley Oaks System (iVOS) to manage all claims electronically Enter action plan notes/website notes into iVOS… more
- Molina Healthcare (San Antonio, TX)
- …issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems . ... and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. **Job Qualifications** **REQUIRED EDUCATION:** Associate 's Degree or… more
- Capital One (Plano, TX)
- …package from the associate . Requirements are subject to change, as new systems and technology is delivered. Capital One reserves the right to modify internet ... Work From Home Bilingual (Spanish) Senior Fraud Recovery Coordinator- Complex Claims **Are you looking for a challenging role that includes the convenience of… more
- Humana (Austin, TX)
- …products, or other medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group practice ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
