- CVS Health (TX)
- …review a clinical determination and understand rationale for decision. * Able to research claim processing logic and various systems to verify accuracy of claim ... Serves as point person for newer staff in answering questions associated with claims /customer service systems and products. Educates team mates as well as other… more
- CVS Health (Irving, TX)
- …(Aetna) commercial claim processing and the surrounding ecosystem of commercial claim applications to support internal business operations and the external ... partners, product owners, architecture and other IT partners. As part of the AT Claim Organization, you will be responsible for code deliverables on both long and… more
- KPH Healthcare Services, Inc. (Longview, TX)
- …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more
- ATI (Dallas, TX)
- …compliance, and technology initiatives across the Law Department. Key Responsibilities: Litigation Support & Insurance Claims Management + Assign matters to ... to insurer inquiries in collaboration with ATIs insurance broker. + Support environmental claims management, including tendering environmental claims… more
- Sedgwick (Irving, TX)
- …-both in-office and virtual + A **comprehensive training program** to help you support employees and customers from some of the world's most respected brands + ... new responsibilities + A **diverse, all-inclusive benefits package** designed to support your mental, physical, financial, and professional well-being **Your next… more
- Covenant Health (Lubbock, TX)
- …of claim billed and collected on behalf of Covenant. This individual addresses claim edits, files all claims on either a UB-04 (RHC) or 1500 (835/837 ... Join Providence?** Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing...you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster… more
- Cardinal Health (Austin, TX)
- …resolution for unpaid and rejected claims + Preparing, reviewing and billing claims via electronic software and paper claim processing + Insurance claims ... understanding of service level goals and objectives when providing customer support . + Demonstrates ability to respond to non-standard requests from vendors… more
- Sedgwick (Irving, TX)
- … for multiple lines of business, including but not limited to, expediting the claims process, and providing detailed claim notes on all calls, resolving issues ... Provide excellent customer service to external customers and internal support to an assigned team. + Act as a...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- The Hartford (San Antonio, TX)
- CRS I Claims - CQ10AN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means ... customer service by answering customer questions about disability and leave management claims . In this role, you'll help our customers rebuild their lives and… more
- Insight Global (Dallas, TX)
- …customer service requirement to achieve the best possible outcome in the claim - Support the goals of the Claims Department We are a company committed to ... client's team. Responsibilities will include managing complex workers' compensation claims , ensuring fair and efficient resolution while maintaining compliance with… more