- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of ... of claimants. Keeps meticulous notes and records for each claim . + Manages a caseload of various types of...Education** High School or GED **Required Experience** 3-5 years claims processing required ** Preferred Education** Bachelor's Degree… more
- Amazon (TX)
- …Management and Legal (internal and external), and employs best practices to control claim costs. . Lead logistic complex claims management, develop and refine ... all of its various use cases. Amazon's Last Mile Claims team is seeking a talented claims ... processes, and provide training as needed. . Direct claim reviews and ensure alignment with KPIs and Performance… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of ... claims . Ensures that claims are settled in...Procures all medical records and statements that support the claim . + Makes recommendations for further investigation or resolution.… more
- Prime Therapeutics (Austin, TX)
- …CPT/HCPS/Revenue codes, insurance terms and policy interpretation. + CFE - Certified Fraud Examiner credential preferred . + Bachelor's degree preferred . + ... Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the… more
- Sedgwick (San Antonio, TX)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- Sedgwick (Austin, TX)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- Molina Healthcare (Houston, TX)
- …updates/changes within claims processing system . + Experience using claims processing system (QNXT). ** PREFERRED EDUCATION:** Bachelor's Degree or ... equivalent combination of education and experience ** PREFERRED EXPERIENCE:** 3+ years Healthcare Claims Adjudication **PHYSICAL DEMANDS:** Working environment is… more
- Sedgwick (Irving, TX)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles,...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- Sedgwick (Austin, TX)
- …monitor individual claim activities; to provide** **technical/jurisdictional** **direction to examiner reports on claims adjudication; and to maintain a ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- CDM Smith (San Antonio, TX)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more