- The Hartford (San Antonio, TX)
- …of key processes, continuous improvement initiatives, and changes in trends in Claims . The individual will perform diagnostic analytics to identify underlying causes ... and trend change. The individual will partner with teammates in Claims Strategy and Optimization, Claims Performance Analytics, Claims Data Office, Claims… more
- Kemper (Dallas, TX)
- …you will be responsible for building rapport with customers. You handle claims involving unrepresented injured claimants, from start to finish. We are offering ... handle multiple vehicle accidents + In some instances, handle claims where claimant is injured and at fault party...have a minimum of 1 year of auto liability claims handling experience + Prior bodily injury experience a… more
- Waste Connections (The Woodlands, TX)
- …develops and implements risk management and compliance policies/procedures, and manages claims and litigation. + Manages relationships with third party service ... policy renewal data. + Partners with all departments regarding incident reports and claims or losses. + Investigates, resolves, and responds to all property and… more
- Toyota (Plano, TX)
- …North American region, processing insurance requests, creating/updating analytical reports, claims management, providing risk management support, and consultation to ... any materials for presentation to various audiences. + Manage insurance program claims activities (ie, collection of claim detail information from business unit for… more
- Methodist Health System (Dallas, TX)
- …candidate will possess a strong background in A/R follow up for family and specialty claims , able to identify, address, and resolve no response claims , denied ... skills with the ability to identify patterns, trends, and discrepancies in claims . - Effective communication and interpersonal skills, with the ability to interact… more
- Baylor Scott & White Health (Temple, TX)
- …validating, and ensuring the accuracy of EDI transactions related to healthcare claims . This role involves working closely with developers, business analysts, and ... EDI teams to ensure that claims data meets internal standards and regulatory compliance (HIPAA,...test, and validate healthcare EDI transactions, including: + **837 ( Claims )** + **835 (Remittance Advice)** + **999 (Acknowledgements)** +… more
- Sedgwick (Austin, TX)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team...to be accredited or qualified by experience + **Insurance claims experience:** it is imperative that you have experience… more
- Molina Healthcare (Fort Worth, TX)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… more
- Sedgwick (Houston, TX)
- …& Insurance National General Adjuster **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Elevance Health (Houston, TX)
- …Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... cash receipts, cash application, claims audits, collections, overpayment vendor validation, and claims adjustments. **How you will make an impact:** + Audits… more