- OneMain Financial (Fort Worth, TX)
- ** Claims Examiner ** The Claims Examiner is responsible for evaluating and processing claims on primarily one business/product line by performing all ... functions required to determine if the claim is or is not payable/deferred/or cancelled. This position provides correspondence to internal/external customers. **In… more
- Sedgwick (Fort Worth, TX)
- …Services & Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; ... policies within assigned group. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and… more
- Sedgwick (Fort Worth, TX)
- …+ Set up new Medicare Lien Resolution (MLR) referrals in the Medicare Compliance System + Electronically sort and index Medicare mail in the SIR and Medicare ... Compliance systems + Responds to questions from examiners about Medicare...+ Documents activity in MCS; communicates MCS action with examiner via JURIS notes + Creates daily reports to… more
- Molina Healthcare (Dallas, TX)
- …Tricare, Pharmacy, etc.) + Experience with UNET, Comet, Macess/CSP, or other similar claims processing systems . + Demonstrated ability to use MS Excel/Access ... enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims… more