- Rush Enterprises (San Antonio, TX)
- …changes, keeping detailed records of customer transactions, certificate requests, claim filing and answering questions regarding policies and explaining coverage. ... customers and insurance company regarding ongoing service, policy changes, claims and customer satisfaction. + Follow up on outstanding...+ Position requires Texas General Lines P & C license . Must be able to obtain license … more
- Sedgwick (Austin, TX)
- …work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all ... claims to ensure information substantiates disability. + Provides clear...preferred. RN, LCSW, LPC, LMHC or CRC required. Current license , registration and/or professional designations as required within the… more
- Molina Healthcare (Houston, TX)
- …abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare ... the Medicaid and Medicare programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems +… more
- Travelers Insurance Company (Plano, TX)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... training, seminars and legal updates to insured clients and Claim partners. + Provide in-depth, substantive analysis and quality...of litigation practice or prior legal experience. + Active license in good standing to practice law in the… more
- Berkshire Hathaway Automotive (Irving, TX)
- …program design, marketing, procurement, and premium allocation. Manage all claims and litigation matters including mediation, involving workers' compensation, ... companies to accurately set reserves for know exposure. Perform claim audits with TPA/Insurer to validate reserving practices. *...Studies (MLS) in Risk Management. * Current Texas Bar License or the ability become licensed in Texas within… more
- Sunrise Senior Living (Frisco, TX)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate ... process candidates in the ATS system and perform background screenings, license verifications, and other required screenings/verifications per applicable federal and… more
- CVS Health (Austin, TX)
- …including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility. ... cases at case conferences for multidisciplinary focus to benefit overall claim management. + Utilizes case management processes in compliance with regulatory… more
- Highmark Health (Austin, TX)
- …with AHN or other community providers and providing assistance with resolving claim or billing issues.Educate members about access to comprehensiveclinical care and ... department (including but not limited to Product Management, membership, claims , eMarketing, etc.). Identify any opportunities for process improvements.Success will… more
- Towne Park (Dallas, TX)
- …- 15% Understands and drives business metrics for forecasting, productivity, claims , customer service, and turnover. Ensures all associates accurately identify and ... or equivalent degree preferred **Required Licensure, Certification, etc.:** + Valid driver's license and clean driving record **Work Experience:** + A minimum of one… more
- Mass Markets (Killeen, TX)
- …and best solutions to meet their personal financial needs. A Property and Casualty license is required for this role. To be considered for this position, you must ... the necessary information and notify business partners regarding messages, inquiries, and claim reporting + Utilize knowledge base and training to accurately answer… more