- Sedgwick (Houston, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , E&O, D&O | Professional Liabilty **ESSENTIAL FUNCTIONS and ... RESPONSIBILITIES** + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on… more
- Molina Healthcare (San Antonio, TX)
- …Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate ... application. * Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund… more
- Kelly Services (Wichita Falls, TX)
- …always easy. That's where Kelly (R) Professional & Industrial comes in. We're seeking ** Claims Specialist ** to work in a temporary to hire opportunity with a ... at home to do this position **Job Duties:** + Processing complex claims requiring investigation and coding...so let's get to work. Apply to be a Claims Specialist today! As part of our… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical… more
- Baylor Scott & White Health (Dallas, TX)
- …Manager the Claims Adjuster is responsible for the review, analysis and processing of assigned claims within their authority limits and consistent with ... of quality service while protecting the assets of the organization. The Claims Adjuster's primary duty includes the exercise of discretion and independent judgment… more
- Allied Solutions (Plano, TX)
- …Loss, GAP, CPI and others as assigned. This position will involve the initial processing and investigation of 20-40 claims per day. This position ensures that ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9 months to 2… more
- City of College Station (College Station, TX)
- Risk Management Specialist Print (https://www.governmentjobs.com/careers/cstx/jobs/newprint/5118669) Apply Risk Management Specialist Salary $61,614.00 - ... Under general supervision of the Risk Manager, the Risk Management Specialist provides a range of professional administrative, technical, and analytical support… more
- Sedgwick (Irving, TX)
- …claims ; and to execute technical and jurisdictional requirements for accurate claims processing , benefit review and interpretation of regulations, financial ... Workplaces in Financial Services & Insurance Advocacy Coordination Team Specialist **Considered candidates must have Lockheed Martin client experience.**...payment processing , and… more
- UTMB Health (Galveston, TX)
- … 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 ... (19.99 hours a week) Patient Account Specialist - RCO PB Follow Up **Galveston, Texas,... claims . Identifies billing issues affecting hospital and/or physicians … more
- Molina Healthcare (Dallas, TX)
- …communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims ... incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions only_ )… more