- Philadelphia Insurance Companies (Plano, TX)
- …member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Supervisor II - General Liability to join our team! Summary: Supervises claims ... technical support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking trends and… 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...laws and regulations governing Medicare billing practices, medical billing systems , and claims processing. Preferred: IDX/EPIC, PC… 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 ... or receipt. Detail notes regarding correspondence must be entered into the client's system + Works all denials taking necessary actions to obtain account resolution… more
- Houston Methodist (Houston, TX)
- …timely, compliantly, and without errors. Documents clear, concise and complete notes in system for each account worked. + Identifies claim processing issues and ... includes, but is not limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and… more
- Highmark Health (Austin, TX)
- …systems problems. Provides research and technical support need to address complex claims and inquiries and/or when systems problems occur. Provides direction ... supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine,… 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...quality standards and trend analysis. + Utilizes diary management system to ensure that all claims are… 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...quality standards and trend analysis. + Utilize diary management system to ensure that all claims are… more
- Intermountain Health (Austin, TX)
- …within the assigned department. The Cash Management Credit Balance Resolution Supervisor has the responsibility for overseeing all facets of credit resolution, ... Ensuring the accurate and timely processing of credits, active participation in system integration testing. Serves as a subject matter expert for credit resolution,… more