- Elevance Health (Houston, TX)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
- Sedgwick (Houston, TX)
- …involved in the claims process + Other duties as assigned by management or as needed. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as ... with information regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair estimate and… more
- Sedgwick (Austin, TX)
- …General Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and… more
- Cardinal Health (Austin, TX)
- …ensure that day-to-day service and production goals are met. + Assists management in monitoring associates' goals and objectives daily; motivates and encourages ... appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance...on paper and online. + Oversees appeals and denials management to maximize revenue recovery and minimize financial leakage,… more
- DXC Technology (Plano, TX)
- …relationships with senior leaders across L&A customers, including Operations, IT, Claims , Actuarial, Distribution, Policy Admin, and Customer Experience. + Conduct ... across: + Policy administration (new business, underwriting, policy servicing) + Claims processing + Billing & payments + Customer experience platforms (portals,… more
- Sedgwick (Dallas, TX)
- …Rec Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to ... documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims...a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change… more
- USAA (San Antonio, TX)
- …assistance is not available for this position. **These positions will support Claims Litigations.** **What you'll do:** + Develop and implement strategic customer ... and/or process engineering/optimization. + Experience in successfully applying quality management , process improvement, and problem-solving tools and methodologies. +… more
- Sedgwick (San Antonio, TX)
- …housing best practices to advise clients and partners effectively. + Handle multiple claims and assignments at once with professionalism and urgency. + Serves as the ... Two (2) years experience in inside sales, customer service, or account management . Previous experience in insurance, temporary housing, corporate lodging, or real… more
- PNC (TX)
- …Dallas, Texas, Houston, Texas; Atlanta, Georgia. Experience working as an Adjuster, a Claims Handler, a Commercial Claims Adjuster, an Insurance Underwriter, a ... Commercial Underwriter or an Adjuster is a strong plus. Claims experience or underwriting experience from an insurance background working with policy claims , is… more
- Prime Therapeutics (Austin, TX)
- …including such items as assurance of Service Level Agreement performance in Care Management Centers and Shared Services, assurance of claims accuracy payment/ ... cost solutions that meet the desired outcomes of the customer; general management of the account, including P&L responsibility; and accountability for contract… more