- Sedgwick (Austin, TX)
- …Insurance Marine Investigator **PRIMARY PURPOSE** **:** To perform detailed admiralty claims investigation and analysis through examination of the loss, collection ... or other stakeholders. + Runs and interprets formal background checks related to claims through online resources, evaluating the results as it relates to policy… more
- Sedgwick (Houston, TX)
- …Review Analyst plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and defensibility. This ... AND RESPONSIBILITIES** + Reviews legal invoices associated with medical malpractice claims to verify accuracy, reasonableness, and adherence to established billing… more
- Sedgwick (Austin, TX)
- …work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all ... claims to ensure information substantiates disability. + Provides clear...which helps clients thrive by navigating the unexpected. The company 's expertise, combined with the most advanced AI-enabled technology… more
- CVS Health (Austin, TX)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility.… more
- Chevron Corporation (Houston, TX)
- …than a century, Chevron has worked to support the health of the company 's employees and dependents in business units around the globe. Disability Management (DM) ... management of complex cases (ie co-morbidities, stress & psychiatric illness & injury, claims of employees with a history of adverse action) to facilitate prompt,… more
- Omni Hotels (San Antonio, TX)
- …accurate documented enrollment for all eligible associates. + Monitor unemployment insurance claims and actively work to reduce claim liability through detailed ... with the pride that comes from working for a company with a reputation for exceptional service. We embody...of forms, medical services and reporting standards to insurance company . + Champions Omni Culture on property, and enthusiastically… more
- Rush Enterprises (San Antonio, TX)
- …make recommendations regarding risk management. Communicate with customers and insurance company regarding ongoing service, policy changes, claims and customer ... changes, keeping detailed records of customer transactions, certificate requests, claim filing and answering questions regarding policies and explaining coverage.… more
- Travelers Insurance Company (Richardson, TX)
- …soon as possible. Travelers has built a solid reputation as a leading insurance company and employs some of the most talented, passionate people in the industry and ... to work for ANY employer in the US The company does not sponsor/support H-1B petitions, TN, or Forms...learn and develop consulting skills + Collaborating with Underwriting, Claim , Clients, BI Business Partners and other Risk Control… more
- Prime Healthcare (Farmers Branch, TX)
- …operations, which include but are not limited to: 837 files, billing edits, clean claim rate standards, billing errors and trends, as well as claim rejections ... writing and modifying, CCI edits, 835, EFT, ERA, and claim error trends across multiple payor base and across...Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company… more
- CVS Health (Austin, TX)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the… more