- CVS Health (Austin, TX)
- …Qualifications** + Self funded medical claim processing experience. + DG system knowledge. + Associate 's Degree. **Education** + High School Diploma or ... all with heart, each and every day. **Position Summary** The Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims… more
- CVS Health (Austin, TX)
- …communications, organizational, and interpersonal skills. **Preferred Qualifications** + DG system claims processing experience. + Demonstrated ability to ... Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider… more
- The Hartford (San Antonio, TX)
- …too. Join our team as we help shape the future. As a General Liability Associate Claims Representative for all business lines, you're at the front lines for ... Claims Representative - CH09CNAssociate Claim Representative...a structured work environment + Ability to utilize multiple systems to handle/process claims + Problem solving… 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
- Molina Healthcare (Houston, TX)
- …is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it ... written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims processing… 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
- Philadelphia Insurance Companies (Plano, TX)
- …related experience and/or training; or equivalent combination of education and experience. Associate in Claims , CPCU or other industry related studies. ... A++ by AM Best. We are looking for a Claims Supervisor II - General Liability to join our...Experience with Windows operating system . Basic Word processing skills. EEO Statement: Tokio Marine… more
- Community Health Systems (Corsicana, TX)
- …Summary** The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate reimbursement. ... contact for insurance companies and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational… more
- Texas A&M University System (Corpus Christi, TX)
- Job Title Associate Head Athletic Trainer Agency Texas A&M University - Corpus Christi Department Athletics Programs - Training Proposed Minimum Salary Commensurate ... degrees, including doctoral programs. As a member of the Texas A&M University System , TAMU-CC benefits from a range of resources, increased visibility and influence,… more
- Methodist Health System (Dallas, TX)
- …cycle management, with a particular emphasis on addressing and resolving no response claims , rejected or denied claims , and managing correspondence. This role ... goals while maintaining a positive and solution-oriented mindset. **Your Job Requirements:** Associate 's degree or two years college with credit hours in Business… more