- 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 (Fort Worth, TX)
- …with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and ... reserve amounts on high cost claims and claims over the authority of the individual examiner...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- Sedgwick (Austin, TX)
- …or university preferred . **Experience** 2-3 years experience processing work comp claims as an examiner . Familiar with CPT, DRG and resources established ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator **PRIMARY PURPOSE** **:** To negotiate Out of Network bills that do… 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
- CDM Smith (Fort Worth, 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
- Sedgwick (Fort Worth, 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 (Fort Worth, TX)
- …or GED required **Experience** One (1) year of general office experience required. Claims or medical records/billing industry experience preferred . Two (2) years ... + Documents activity in MCS; communicates MCS action with examiner via JURIS notes + Creates daily reports to...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more