- Samsung SDS America (Plano, TX)
- …grown into a global top-level third-party logistics company. The Innovation Operation Manager & Claims is responsible for leading process improvement initiatives ... and logistics-related claims resolution within Samsung SDS America's operations. This dual-function...claims handling and support continuous improvements to minimize claim recurrence. + Identify trends and root causes of… more
- Travelers Insurance Company (Fort Worth, TX)
- …claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts,… more
- Public Storage (Plano, TX)
- …**Job Description** We currently have an exciting opportunity for a **Workers' Compensation Claims Manager ** to join our Risk Management team based in Plano, ... and at the lowest possible cost. The Workers' Compensation Claims Manager negotiates and maintains relationships with...structured action plan to reach cost effective resolution of claims + Monitor claim activity and proper… more
- Molina Healthcare (San Antonio, TX)
- …to providers. **Job Duties** + Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which ... billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement… more
- USAA (San Antonio, TX)
- …part of what truly makes us special and impactful. **The Opportunity** As a dedicated Manager , Claims Operations you will lead a team who handles express level ... property claims . In this role you will lead property ...appropriate solutions as they investigate, evaluate and negotiate the claim . You will develop engaged employees through regular coaching… more
- Providence (TX)
- …must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, ... take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims ...for each matter:** + Develop and document for each claim or lawsuit a plan of action for resolution… more
- Amazon (Austin, TX)
- …each with a level of urgency. Preferred Qualifications - Fleet or commercial auto claims experience - Auditing experience within a claim organization - ARM, AIC, ... across all of its various use cases. Amazon's Logistics Claims Management team is seeking a talented claims...collaboration. * Leverage subject matter expertise to deep dive claim processes, challenge status quo, and develop tactful solutions… more
- Molina Healthcare (Fort Worth, TX)
- …administering claims payments, provider claims inquiries, reconsiderations, claims adjudication, and maintaining claim records for the Portal Response ... coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in a timely fashion and… more
- Sedgwick (Plano, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... Calculates and pays benefits due; approves and makes timely claim payments and adjustments; settles claims within...of adjusters, clerical staff and provides feedback to hiring manager . + Provides limited assistance/support to team lead with… more
- Molina Healthcare (San Antonio, TX)
- …organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and requirements ... organizes, and directs the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes that is responsible for reviewing and resolving… more