- Sedgwick (Dallas, TX)
- …FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly ... and risk transfer opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
- Sedgwick (Dallas, TX)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE:** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Austin, TX)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Apex Health Solutions (Houston, TX)
- …key requirements Shall perform user acceptance testing for any impacted changes to claims processing as directed Meets or exceeds production and quality ... of paper/electronic claims for inpatient, outpatient and professional medical claims Resolve claim edits, review history records and determine benefit… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... hear from you. This role involves handling inbound communications, evaluating warranty claims , and working closely with customers and service partners to ensure… more
- AssistRx (Dallas, TX)
- …collect missing information. + Ensures accuracy with attention to detail for copay claim processing and additional data collection. + Performs other related ... + Perform daily reconciliation of batch postings, including automated/manual claim inputs. + Analyze claims for accuracy...benefit including HCPCs level II and CPT codes. + Processing claims and resolving denial instances +… more
- Sedgwick (Plano, TX)
- …of damages. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Evaluate commercial auto bodily injury claims and ensure claim files are properly documented and coded. + ... and to move the file towards prompt and appropriate resolution. + Communicates claim action/ processing with insured, client, and agent or broker when… more
- Providence (TX)
- …or legal handling of claims issues. + 5 years Relevant general claims processing or management experience or an equivalent combination of direct legal ... for each matter:** * Develop and document for each claim or lawsuit a plan of action for resolution...* 2 years of healthcare professional liability (medical malpractice) claims processing or management experience * Insurance… more
- NTT DATA North America (Plano, TX)
- …methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 years using a ... this Role the candidate will be responsible for: + Processing of Professional and Hospital claim forms...+ High school diploma or GED. Preference + Experience processing claims in Amisys or Xcelys is… more
- GuideOne Insurance (Houston, TX)
- … Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume their life's work without ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...coverage and reservation of rights letters. + Maintains effective claim file documentation and diary system. Monitor diary to… more