- Sedgwick (Irving, TX)
- …operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor ... activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ...claims adjudication; and to maintain a diary on claims within the teams including frequent diaries on complex… more
- Sedgwick (Irving, TX)
- …physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability plan; to make ... disability offsets; and to ensure the ongoing processing of claims . **ARE YOU AN IDEAL CANDIDATE?** We are looking...INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to… more
- Sedgwick (Irving, TX)
- …Galleria Officentre Southfield MI 48034 **PRIMARY PURPOSE** **:** To process claims and determine accommodation options following written guidelines and procedures ... absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Informs claimants of documentation… more
- Elior North America (Houston, TX)
- …Compensation Program Manager to help us effectively manage, investigate, and resolve claims . In this role, you'll develop strategies and action plans that reduce ... **What you'll be doing:** + **Manage the end-to-end workers' compensation claims process** in partnership with the Third-Party Administrator (TPA), ensuring timely… more
- USAA (San Antonio, TX)
- …and framework, responsible to adjust attorney-involved, moderately complex bodily injury claims , and UM claims to include confirming coverage, determining ... liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a concierge… more
- Sedgwick (Irving, TX)
- …12650 Ingenuity Dr Orlando FL 32826 **PRIMARY PURPOSE:** To process claims and determine accommodation options following written guidelines and procedures pursuant ... absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** * Informs claimants of documentation… more
- Rexel USA (Dallas, TX)
- …and implementing programs and processes to control the cost of insurance and claims . What You'll Do + Provide best practices in workers compensation management ... + Daily Management of third-party administrator for all RHUSA workers compensation claims + Liaise with National Safety Manager on Workers Compensation claims… more
- Samsung SDS America (Plano, TX)
- …top-level third-party logistics company. The Innovation Operation Manager & Claims is responsible for leading process improvement initiatives and logistics-related ... claims resolution within Samsung SDS America's operations. This dual-function...This dual-function role combines strong innovation project leadership and claims management expertise, focusing on warehouse optimization and automation… more
- Rush Enterprises (New Braunfels, TX)
- …time and return-to-work program. + Provide strategic guidance on claims progression, settlement strategy, settlement negotiation and authorization, subrogation, and ... and update the Risk and Insurance Information System (RMIS) system as individual claims required. + Perform regular audits of individual claim files and review… more
- Molina Healthcare (TX)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more