- Sedgwick (Dallas, TX)
- …General Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Allied Universal (Abilene, TX)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic...with at least one year of driving experience** + ** Company credit card to cover fuel and hotel expenses**… more
- Southland Holdings (Grapevine, TX)
- …contractually-aligned responses. + Draft formal contract correspondence, including notices and claims , to protect company entitlements. + Collaborate with ... thinking, and problem-solving skills. The manager supports dispute resolution, claims , and contract compliance, serving as a trusted advisor...& Disputes: + Lead or support the preparation of claim narratives and change order packages. + Assist in… more
- KPH Healthcare Services, Inc. (Longview, TX)
- …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more
- USAA (Dallas, TX)
- …Investigation Unit (SIU) referrals, when appropriate. + Maintains accurate and current claim file documentation throughout the claims process for low complexity ... and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate… more
- Sedgwick (Austin, TX)
- …Insurance Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up ... documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims...+ Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience… more
- Sedgwick (Irving, TX)
- …Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) and accommodation efforts through ... or client directed documentation, notification, or reporting; and documents client contact in claim notes as per Sedgwick CMS standards. + Adheres to medical and… more
- Walgreens (Fort Worth, TX)
- …all required documentation for billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment ... + Process and file all SDL (submit direct link) claims in accordance with company policy. + Processing of prescription exceptions including prior authorizations,… more
- WestRock Company (Houston, TX)
- …* Manage Workers Compensation claims , working on recommendations for claim settlements, medical treatments and strategies (reducing company exposure/costs) * ... actions/measures. * Report accidents on a timely basis within the Company , Workers Compensation Insurance carrier and regulatory agencies * Communicates and… more
- Humana (Austin, TX)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more