- Molina Healthcare (TX)
- …execute effective Payment Integrity strategies through both pre-payment and post payment claims reviews, aligning with industry and corporate standards as well as ... the professional scope of a Payment Integrity Clinician. This includes...Clinician. This includes assessing medical documentation, itemized bills, and claims data to ensure appropriate payment levels, optimize resource… more
- Travelers Insurance Company (Fort Worth, TX)
- …this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim ... resolution for personal or business claims of moderate severity and complexity. Handles ...addition, our mental health program provides access to free professional counseling services, health coaching and other resources to… more
- USAA (San Antonio, TX)
- …Associate Auto Adjuster. Your work will focus on adjusting non-injury auto claims and you'll work under supervision to investigate, evaluate, negotiate, and adjust ... low complexity auto insurance claims presented by or against our members. This will...path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits,… 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...that should be transferred to another level of claim professional and refer on a timely basis. + Evaluate… more
- CVS Health (Austin, TX)
- …team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs workflow to ensure the efficient and accurate ... processing of medical claims by establishing and monitoring productivity and quality metrics, managing and developing a team of claims support individuals,… more
- Kemper (Dallas, TX)
- …believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly ... severity assessment and exposure assignment of newly reported losses to appropriate Claims Adjusters. + Periodically review exposures and pending inventory to ensure… more
- Kemper (Mcallen, TX)
- …written contentions supported by evidence for arbitration. + Ensure timely and professional responses to all communications. + Resolve claims in accordance ... believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly… more
- Kemper (Dallas, TX)
- …believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly ... negotiation skills? Kemper is looking for experienced Represented Bodily Injury Claims Adjusters for our growing teams! This specialized position focuses solely… more
- Samsung SDS America (Plano, TX)
- …this position will provide legal advice for a resolution of logistics claims , including those arising out of warehouse operations and transportation, develop and ... maintain SOPs for claims processes, and help file claims with...off + Additional benefits Samsung SDS America supports your professional development and growth in your future career. Your… more
- Professional Plastics (Carrollton, TX)
- …equivalent * Minimum of 7 years strategic buying experience * Certified Professional Purchasing Manager (CPPM) Competencies: To perform the job successfully, the ... Critical Thinking: Analytically and logically evaluating information, propositions, and claims . Detects flaws, inconsistencies, and seeks the root-causes of… more