- Kemper (Mcallen, TX)
- …believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly ... metrics. **POSITION RESPONSIBILITIES:** + Manages the day-to-day operations for assigned claims staff by establishing schedules and priorities, coaches employees in… more
- Sedgwick (Austin, TX)
- …General Adjuster - Southwest Region **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
- Sedgwick (Irving, TX)
- …and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims related questions and issues in accordance with designed guidelines and ... policies. + Communicates claims status and current claim activity with client and...Associate's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.… more
- The Hartford (Houston, TX)
- …will join a collaborative environment where you will have direct contact with our Claims Professionals while working from home! If you join our team, you will find ... personal growth and are all driven to provide excellent customer service to our Claims Partners and insureds. If you have a passion for the law, enjoy collaborating… more
- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims and ... FUNCTIONS** + Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes… more
- Schlumberger (Houston, TX)
- …claim mitigation strategies. Analyzing the basis and extent of change Tracking claims and monitoring progress through the claims resolution process. Analyzing ... the Company and in accordance with the relevant contract Challenge and negotiate claims and variations submitted by the Contractor and provide an assessment of… more
- Travelers Insurance Company (Houston, TX)
- …handling complex toxic tort, latent injury, sexual misconduct and/or environmental claims that may present significant financial exposures. With general supervision, ... you will manage moderate to large exposure claims with complex liability and coverage issues, with the...addition, our mental health program provides access to free professional counseling services, health coaching and other resources to… more
- Bank of America (Addison, TX)
- …**Position Summary:** + Technology architecture and design of the Claims Technology capabilities. + Stability, resiliency, performance, and disaster recovery ... strategy/plans/testing of the Claims platform + Alignment of technology strategy to enterprise...a demonstrated ability to influence without authority. + A professional who is apolitical, business-focused and exercises good judgment.… more
- Urology Clinics of North Texas (Mesquite, TX)
- …spread throughout the Dallas metroplex is looking for a customer-focused office professional to perform collections, filing claims , handle appeals, and ... correspondence with payers. This position will focus on claims for our Oncology business. ESSENTIAL DUTIES OF THIS...for daily work + Follow up on all oncology claims from billing through final resolution + Correct and… more
- Molina Healthcare (Fort Worth, TX)
- …Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of ... healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translates strategic needs into… more