- Travelers Insurance Company (Fort Worth, TX)
- …claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate ... **What Will You Do?** + Handles 1st party property claims of moderate severity and complexity as assigned. +...in accordance with the Knowledge Guides. + Maintains diary system , capturing all required data and documents claim… more
- The Hartford (San Antonio, TX)
- …and successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and ... execute file strategies including investigation, valuation, disposition and settlement of assigned claims , in a manner consistent with corporate claim settlement… more
- CVS Health (Austin, TX)
- …plan + Efficiently use multiple systems and screens to obtain and record claim information + Review claims information to determine the nature of a member's ... we do it all with heart, each and every day. ** Claim Benefit Specialist** Reviews and adjudicates claims in accordance with claim processing guidelines. … more
- Samsung SDS America (Plano, TX)
- …from customers, carriers, and brokers. + Oversee the entry, tracking, and resolution of claims in systems such as TMS, WMS, and etc. + Analyze incidents ... related to logistics claims handling and support continuous improvements to minimize claim recurrence. + Identify trends and root causes of claims through… more
- CVS Health (Austin, TX)
- …communications, organizational, and interpersonal skills. **Preferred Qualifications** + DG system claims processing experience. + Demonstrated ability to ... Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider… more
- CVS Health (Austin, TX)
- …medical claim processing experience - Self-Funding experience - DG system knowledge **Education** **-** High School Diploma required - Preferred Associates ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Prime Therapeutics (Austin, TX)
- …and Medicaid Services rules and regulations + 1 year of experience working with claims systems Every employee must understand, comply with and attest to the ... and drives every decision we make. **Job Posting Title** Claim Technical Analyst - JUDI Ops Team - Remote...remediation analysis caused by errors coded into the JUDI claims processing system . This position also researches… more
- Allied Solutions (Plano, TX)
- Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. ... claims per day. This position ensures that all claim documentation is thoroughly reviewed and assessed for coverage...This position will also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis,… more
- Ryder System (Austin, TX)
- …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Senior Claims Representative handles complex and mid-to-high exposure bodily ... injury and property damage claims under Ryder's self-administered liability program. This position investigates and adjusts claims , as well as directs defense… more
- Citizens (Irving, TX)
- …complex methods, procedures, and knowledge of the business unit's product(s) and system application(s) such as LoanSphere Claims . Qualified candidate will need ... Description The FNMA(Fannie Mae)/FHLMC(Freddie Mac) Claims Specialist performs all tasks associated with reimbursement...a claim for submission + Filing the claim within the correct internal/government system to… more