- Sedgwick (Dallas, TX)
- …policies within assigned group. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and ... Licensing** High School diploma or GED required. Associate degree preferred . **Experience** Two (2) years of claims ...degree preferred . **Experience** Two (2) years of claims management or insurance experience or equivalent combination of… more
- Sedgwick (Austin, TX)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner , client, injured worker, attorney and supervisor. + Identifies ... recovery. + Provides recommendations for alternate clinical resources to support claim resolution. + Maintains client's privacy and confidentiality, promotes client… more
- Baylor Scott & White Health (Temple, TX)
- …on position type and/or level **Job Summary** Manages detailed assessments of high-risk claims with a medical/legal plan to prevent claim elevation. Reviews and ... + We have a Dallas based office that you can work from if preferred . **Essential Functions of the Role** + Reviews incident reports to assess potentially compensable… more
- Highmark Health (Austin, TX)
- …+ None ** Preferred ** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + ... 6 years of related and progressive experience in lieu of Bachelor's degree ** Preferred ** + Master's Degree in Fraud, Forensics Accounting, Business or related field… more