- Ascension Health (Austin, TX)
- …Responsible for reviewing, investigating and resolving health-care claim payment appeals and communicating resolution/determination in accordance ... by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. +… more
- HCA Healthcare (Houston, TX)
- …Do you want to join an organization that invests in you as a Medical Insurance Claims Specialist ? At Parallon, you come first. HCA Healthcare has committed up to ... difference. We are looking for a dedicated Medical Insurance Claims Specialist like you to be a...will be responsible for processing insurance accounts to address claim issues and thereby affect payment and/or bringing them… more
- Philadelphia Insurance Companies (Plano, TX)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. Claims Specialist - G/L to join our team! Summary: Investigate, evaluate and settle more ... complex first and third party insurance claims . A typical day will include the following: Communicates...broad insurance areas, products or special contracts. Evaluates each claim in light of facts, policy considerations and corporate… more
- Zurich NA (Dallas, TX)
- General Liability Claims Specialist I 126145 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... their career with our General Liability team. As a General Liability (GL) Claims Specialist , you will work with a diverse team of claims professionals.… more
- Allied Solutions (Plano, TX)
- …except in the following circumstances: + Internal insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9 months ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...years highly preferred; + Preference given to those with Claim Processor or Claim Specialist … more
- Baylor Scott & White Health (Dallas, TX)
- …**Job Summary** + Under the Safe Choice Claims Manager, the Safe Choice Claims Specialist II reviews, studies, and processes assigned claims within their ... efficient service while protecting the organization's assets. + The Claims Specialist II's main duty involves using...payroll and for all approvals of medical bills per claim file. + Pay and process claims … more
- Travelers Insurance Company (Richardson, TX)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...**What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file… more
- Travelers Insurance Company (Houston, TX)
- …evaluating, reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim ... is designed to support flexibility. **What Will You Do?** CLAIM HANDLING: + Directly handle assigned severe claims... CLAIM HANDLING: + Directly handle assigned severe claims when Travelers has coverage of $2 million or… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... clinical knowledge to reduce financial risk and exposure caused by front end claim edits and retrospective denial of payments for services provided. This position… more
- USAA (San Antonio, TX)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within defined guidelines and framework, investigate, evaluate,… more