- OneMain Financial (Fort Worth, TX)
- Job Description ** Claims Examiner Intermediate** The Claims Examiner Intermediate is responsible for evaluating and processing claims on primarily ... with internal and external customers. + Research additional information to support claim processing. Perform benefit calculations. Conduct claim… more
- NTT DATA North America (Plano, TX)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Claims Examiner to join our team in Plano, Texas (US-TX), United ... States (US). + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- USAA (San Antonio, TX)
- …documentation to support accurate outcomes. + Prioritizes and manages assigned claims workload to keep members and other involved parties informed and provides ... special and impactful. **The Opportunity** As a dedicated **Injury Examiner ** , you will be responsible to adjust complex...you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to… 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 (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 (Dallas, TX)
- …Best Workplaces in Financial Services & Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office ... policies within assigned group. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and… 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 ... timely reviews, feedback, recommendations, and resolution of professional liability claims . Coordinates follow-up and collaborates with multiple reviewers to ensure… more
- Prime Therapeutics (Austin, TX)
- …with a high level of detail and accuracy, to clearly and concisely support conclusions and recommendations. + MISCELLANEOUS DUTIES: + Provide backup support ... Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the...terms and policy interpretation. + CFE - Certified Fraud Examiner credential preferred. + Bachelor's degree preferred. + Prefer… more