- Elevance Health (Grand Prairie, TX)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate ... reimbursement for healthcare claims . This person will also be responsible for analyzing, abstracting, compiling data, and generating reports. This position must… more
- 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 ... promises. **Position Summary** : If you're a Customer Service professional with a passion for helping others, it's time...prepared on everything you need to know about insurance claims and help you succeed in this role. **Position… more
- Sedgwick (Irving, TX)
- …job requiring no prior experience that offers an opportunity to develop a professional career? + A stable and consistent work environment in an office and/or ... to take care of your mental, physical, financial and professional needs. See what a day in the life...To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not… more
- The Hartford (TX)
- …within a matrixed business environment where you will have direct interaction with Claims Partners and insureds, we want to speak with you! RESPONSIBILITIES: * ... of defense strategies with autonomy. * Partner with our Claims Partners to achieve the best results for our...with the court, witnesses, opposing counsel and co-counsel with professional diplomacy and discretion. * Facilitate prompt, efficient and… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... goals. **Empowered Development -** Play an active role in professional development as a business imperative. Minimum $117,027.00 -...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sedgwick (Houston, TX)
- …Adjuster - Power/Energy (SE & SW Regions) **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other companies ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss experience reports to help… more
- Sedgwick (Dallas, TX)
- …Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss experience reports to help… more
- Zurich NA (Addison, TX)
- …(not limited to) Financial Institutions, General Industries, Manufacturing, Technology, Professional Services and Real Estate. Zurich Middle Markets offers end ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s… more
- Southland Industries (Carrollton, TX)
- …to Brandt's/Southland safety department, with heavy emphasis on workers compensation claims management. **What you'll do:** + Provide administrative support to group ... and maintain w/c claim filing system. + Assist with case management of open claims through to closure; notify safety director of safety manager of status changes. +… more