- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse… more
- Sedgwick (Irving, TX)
- …from some of the world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey. + Career development and promotional ... professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability...with a comprehensive curriculum. + An assigned mentor and manager that will support and guide you on your… 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
- Moore County Hospital District (Dumas, TX)
- …Works patient refunds and payment transfers to ensure deadlines are met. Contact office manager for assistance in claims processing in a timely manner. Answers ... from multiple payers, ensure discounts and adjustment are correct. Works denied claims daily gathering requested information for resubmittal of a corrected claim.… more
- Travelers Insurance Company (Richardson, TX)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Travelers Insurance Company (Fort Worth, TX)
- …Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc. ... this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim… more
- Toyota (Plano, TX)
- …receipt of accepted/denied claims acknowledgment, etc.). + Work with the Risk Manager (s) and Senior Risk Manager to support loss control program activities, ... and highly motivated **Insurance Risk Analyst** . Reporting to the Senior Risk Manager , the person in this role will support the department's objective to minimize… more
- UTMB Health (Galveston, TX)
- …These are agreed upon during the creation of a new posting with the hiring manager . They need to be verifiable. ( Example: Masters Degree, 5 years of experience ) ... Specialist will be responsible for billing all third party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital … more
- Travelers Insurance Company (Houston, TX)
- …reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim life cycle (customer ... You Do?** CLAIM HANDLING: + Directly handle assigned severe claims when Travelers has coverage of $2 million or...facts or allegations of each case. + Consult with Manager on use of Claim Coverage Counsel as needed.… more
- Methodist Health System (Dallas, TX)
- …cycle management, with a particular emphasis on addressing and resolving no response claims , rejected or denied claims , and managing correspondence. This role ... medical billing, or medical reimbursement Proven experience in managing no response claims , denied claims , and billing correspondence. Knowledgeable with payors;… more