- Sedgwick (Houston, 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 ...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- PennyMac (Fort Worth, TX)
- …timely and accurately, providing all back-up as requested, and the reconciliation and posting of claim proceeds. The Claims Supervisor will : + Manage the ... through the complete mortgage journey. A Typical Day The Claims Supervisor is responsible for providing structure...claims for reimbursement of expenses + Reconciliation of claim proceeds and filing supplemental claims as… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- …direction and oversight, the incumbent is responsible for managing and analyzing claims handling activities for Claims Examiners; ensuring compliance with legal ... time to time. 1. Effectively manage assigned team of Claims Examiners and performance of same. 2. Review all...in the audit process by reviewing performance on individual claim files against Company standards, arriving at a reasonable,… 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 ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… 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 ...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors others.… 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 ...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Sedgwick (Irving, 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 ...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… 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...coding is correct. + Refers cases as appropriate to supervisor and management. + Leads team meetings and assigns… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** Under the supervision of the Business Services Supervisor , the Claim Edit Follow-Up Representative is responsible for processing the ... electronic claims edits, "front end "edits, as well as ...as well as claims edits from secondary claims . In the event a claim edit...from secondary claims . In the event a claim edit does not pass, the Follow-Up Representative must… more
- Acosta Group (Lewisville, TX)
- …as needed. + Uses systems, reports, and Standard Operating Procedures to work assigned claim steps and gather supporting claims information. + Processes invalid ... position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This...provides resolution in priority order as directed by the Supervisor . + Searches for and links invoices, contracts, and… more
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