- 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
- Sedgwick (Austin, TX)
- …of education and experience required to include two (2) years of claims supervisor experience. **SUPERVISORY RESPONSIBILITIES** + Performs other duties as ... suggested by the claim status; and provides written resumes on specific claims as requested by client. + Maintains frequent diaries on complex or high exposure… more
- Sedgwick (San Antonio, TX)
- …+ **6 years liability claims experience to include 2 claims supervisor experience** + **License required; P&C preferred. Reciprocation assistance ... claim status; and provides written resumes of specific claims as requested by client. + Assures that direct...education and experience required to include two (2) years claims supervisor experience. Sedgwick is an Equal… 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
- Wells Fargo (San Antonio, TX)
- **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Representative in Detections Operations within Fraud and Claims Management. Find out why ... **In this role, you will:** + Support fraud and claims functional area by proactively identifying opportunities to improve...as sensitive information as a part of resolving a claim + May oversee multiple claim types,… more
- Texas Veterans Commission (Midland, TX)
- …job histories, which includes job title, dates of employment, name of employer, supervisor 's name and phone number, and a description of duties performed.To receive ... assisting veterans and eligible persons with the Department of Veterans Affairs claims process. Work involves collaboration with external partners to include the… more
- Guidehouse (Lewisville, TX)
- …non-clinical denials + Monitors all denials for trends and issues and reports findings to supervisor + Bills or re-bills claims as necessary + Ensures the client ... follows all state and federal rules and regulations both billing and HIPAA + Completes assigned special projects within the time frames given + Attend training sessions and seminars offered by the Client and Third-Party Payers. + Appropriately documents each… more
- AUI Partners (TX)
- This position is for a road warrior! The Safety Supervisor is "boots on the ground" and requires the position to be onsite at projects throughout the nation. The ... primary role of the Safety Supervisor is to be responsible for all Safety functions...+ Assist HR, Legal and Compliance on Worker Compensation claims and other claims involving the public,… more
- Caris Life Sciences (Irving, TX)
- …billing department, ensuring timely and accurate resolution of denied or underpaid claims . This role requires a strong understanding of payer guidelines, excellent ... team success. This role ensures timely and accurate follow-up on outstanding claims while also supporting team development through audits, training, and regular… 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