- Sedgwick (Houston, TX)
- …Best Workplaces in Financial Services & Insurance General & Product Liability Complex Claim Examiner - Multi-State Preferred - Hybrid - Sedgwick Office **ARE ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans.... Professional certification as applicable to line of business preferred . **Experience** Five (5) years of claims … 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
- Mass Markets (Killeen, TX)
- …of your team. This is a management-level position. Prior experience in management, supervisor , or customer service leadership is highly preferred . To be ... ability to thrive in a fast-paced, ever-changing, and high-pressure environment. PREFERRED QUALIFICATIONS: + Military, local, state or federal government experience… 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 ...required. Professional certification as applicable to line of business preferred . **Experience** Six (6) years of claims … 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 ...(AIC), Certified Professional in Health Care Risk Management (CPHRM) preferred . **Experience** Ten (10) years of complex claims… 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 .... Professional certification as applicable to line of business preferred . **Experience** Five (5) years of claims … 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.... Professional certifications as applicable to line of business preferred . Five (5) years claims management or… 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 ... as well as claims edits from secondary claims . In the event a claim edit...regulations governing Medicare billing practices, medical billing systems, and claims processing. Preferred : IDX/EPIC, PC skills, and… more
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