- USAA (San Antonio, TX)
- …**Fraud Governance Advisor Lead** who will be dedicated support for the Life Company Fraud Program, engaging in the planning, execution, and delivery of First Line ... Fraud projects intended to accomplish business goals and objectives within prescribed timeframes and applicable compliance frameworks. Effectively influencing key stakeholders, project/program teams, Second Line of Defense, and management/executive leadership… more
- The Hartford (San Antonio, TX)
- …theirs, too. Join our team as we help shape the future. The Claims Team Leader will manage and direct claim investigation, compensability determination, ... Oversee the completion and execution of the investigation, disposition and settlement of claims , in compliance with corporate claim standards and procedures, and… more
- Houston Methodist (Houston, TX)
- …includes, but is not limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and ... knowledge of billing practices and maintains departmental standards relating to insurance claims processing, charge entry and billing functions. This role is also… more
- Sedgwick (Dallas, TX)
- …strong client relationships. + Participate in regular discussions with clients regarding claim status/developments and reserving of excess claims . + Engage ... **PRIMARY PURPOSE** **:** To be an Account Manager with General Liability Claims experience responsible for the end-to-end management of liability claims … more
- Sedgwick (Irving, TX)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- Allied Universal (Waco, TX)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Sedgwick (Irving, TX)
- …needs. **PRIMARY PURPOSE** : Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan ... and making timely payments/approvals and adjustments, medically managing disability claims ; coordinates investigative efforts, thoroughly reviewing contested claims… more
- USAA (Dallas, TX)
- …using technology and desk adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to physically inspect ... accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge… more
- Sedgwick (Irving, TX)
- …75063 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Sedgwick (Austin, TX)
- …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client… more