- GE Aerospace (Houston, TX)
- …In this high-impact role, you'll deliver sharp insights, adjudicate complex claims , and collaborate across teams using advanced analytics and emerging technology. ... and plan + Perform desk and/or field audits of reinsured claims , policies or administrative processes, documenting findings and recommendations using established… more
- Highmark Health (Austin, TX)
- ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job requires the ability to identify issues related to professional and facility provider ... claims data including determining appropriateness of code submission, analysis of the claim rejection and the proper action to complete the retrospective claim… more
- The Hunton Group (Houston, TX)
- …you will oversee the full warranty lifecycle-identification, validation, documentation, claim submission, and recovery-while ensuring compliance with company , ... Train and develop teams on warranty entry, documentation standards, OEM requirements, and claim closeout procedures. + Lead regular review meetings to track open … more
- Travelers Insurance Company (Austin, TX)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical environment… more
- Sedgwick (Irving, TX)
- …questions and issues in accordance with designed guidelines and policies. + Communicates claims status and current claim activity with client and appropriate ... medical contact; responds to inquiries about jurisdiction- and claim -specific issues. + Enters data into claims system(s) and ensures claim files are… more
- Highmark Health (Austin, TX)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... ** Company :** Highmark Inc. **Job Description :** **JOB...and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES**… more
- Sedgwick (Irving, TX)
- …naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes ... physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability plan; to make… more
- Sedgwick (Irving, TX)
- …under ADA, state, and/or client requirements for a qualifying condition. + Makes claim determinations to approve non-complex ADA claims or makes a recommendation ... Drive Eden Prairie, MN 55344 **PRIMARY PURPOSE** **:** To process claims and determine accommodation options following written guidelines and procedures pursuant… more
- Sedgwick (Austin, TX)
- …**:** To supervise the activities of the adjuster department; to assign caseload of claims to adjusters and to ensure customer satisfaction of claims services ... + Develops standards, programs, processes, and initiatives to assure quality claim files and results. + Resolves complaints and problems which have… more
- Travelers Insurance Company (Houston, TX)
- …through local expertise and outstanding client service. We handle litigation arising from claims asserted against policyholders or the company and take cases ... you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range...20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program… more