- NTT DATA North America (Plano, TX)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Claims processing to join our team in Plano, Texas (US-TX), United ... In these roles you will be responsible for: Review and process insurance claims . Validate Member, Provider and other Claim 's information. Determine accurate… 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 ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- WTW (Houston, TX)
- …Auditor, you will apply your medical claims audit, project management and claim processing and auditing experience to perform self-insured client audits. You ... administration, as well as of vendors' processes and operating environment + Claims processing knowledge/exposure to one or more administrator claim systems… more
- Highmark Health (Austin, TX)
- …and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs, ... **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health… more
- Sedgwick (Dallas, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Allied Solutions (Plano, TX)
- Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. ... others as assigned. This position will involve the initial processing and investigation of 20-40 claims per...claims per day. This position ensures that all claim documentation is thoroughly reviewed and assessed for coverage… more
- Sedgwick (San Antonio, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Consolidated Electrical Distributors (Irving, TX)
- …position provides guidance and support to ensure timely, accurate, and efficient claim processing . Loss Control Department Summary: The Loss Control Department ... Summary Job title: Loss Control Claims Coordinator II Job ID: null Department: Loss...Manager and is primarily responsible for the oversight of claim reporting, processing , coordination, and management activities.… more
- Molina Healthcare (San Antonio, TX)
- …recovery application. * Follows department processing policies and procedures including, claims processing ( claim reversals and adjustments), claim ... JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim ...and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other… more
- Sedgwick (Austin, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more