- Sedgwick (Austin, TX)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and ... work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all … more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Pharmacy Services Specialist 2 communicates with members, providers, and clients to explain Health Plan pharmacy benefits, assist with ... understanding the prior authorization process, and resolve claims processing and eligibility issues while adhering to department...causes and address concerns. In addition, the Pharmacy Services Specialist 2 serves in a leadership capacity as a… more
- Southland Industries (Carrollton, TX)
- …Brandt's/Southland safety department, with heavy emphasis on workers compensation claims management. **Position Details** + Provide administrative support to group ... supervisor's first report of injury. Set-up and maintain w/c claim filing system. + Assist with case management of...filing system. + Assist with case management of open claims through to closure; notify safety director of safety… more
- Houston Methodist (Houston, TX)
- …is responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform ... At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect...ESSENTIAL FUNCTIONS** + Collaborates with management to target complex claims and reduce aging of accounts by providing verbal… more
- Chevron Phillips Chemical (Orange, TX)
- …Company, apply today! **Introduction** Chevron Phillips Chemical is seeking an Operations Specialist to join the Polyethylene Operations Team for the Golden Triangle ... of the Operations team upon project completion. The Operations Specialist is responsible for helping ensure that the Polyethylene...fee will be paid for candidates who apply and claim to be represented by an agency. Any unsolicited… more
- Molina Healthcare (Houston, TX)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... ensure that internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases… more
- Aston Carter (Irving, TX)
- …interactions. The ideal candidate will have experience in lien and claims management as well as collections duties for accounts receivable within ... company management. + Prepare preliminary lien notices and bond claims that comply with state statutes to secure account...plus. + Knowledge of mechanic statutes and payment bond claim procedures. + Ability to work in a fast-paced… more
- Otsuka America Pharmaceutical Inc. (Abilene, TX)
- …everyday health. In its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, ... patient care and provide a superior experience. The Neuroscience Specialist will report directly to the respective Area Business...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- DriveTime (Fort Worth, TX)
- …contracted expectations. In addition, this is a customer facing role where the specialist serves as a liaison between the customer and vendors to resolve complaints ... all inbound calls in a timely manner + Handle customer complaint claims resulting from repossession activity through customer calls, research, and appropriate vendor… more
- Zurich NA (Houston, TX)
- Underwriting Specialist OR Executive Underwriter- Construction Property 127562 Zurich is currently hiring an experienced Construction Property Underwriter (Level II ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s… more