- Humana (Austin, TX)
- …APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Sedgwick (Dallas, TX)
- …and service contract requirements. + Maintains contact with operations teams on claims and promotes a professional relationship; makes recommendations to ... operations as suggested by the audit results. + Ensures claims files are coded correctly, and adequate documentation is made by examiners during the audit process. +… more
- Sedgwick (Houston, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Plano, TX or Remote TX Are you looking ... your insights. + Take advantage of a variety of professional development opportunities that help you perform your best...: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- Sedgwick (Plano, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead Assistant - Liability - Irving or Plano, TX Are you looking ... your insights. + Take advantage of a variety of professional development opportunities that help you perform your best...: To analyze complex or technically difficult general liability claims to determine benefits due; to work with high… more
- Sedgwick (Irving, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Roseville, CA **California workers compensation claims ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...your insights. + Take advantage of a variety of professional development opportunities that help you perform your best… more
- Sedgwick (Austin, TX)
- …Fortune Best Workplaces in Financial Services & Insurance General Liability Claims Examiner | Dedicated Client | Remote **_Dedicated Client: Property Ownership ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...your insights. + Take advantage of a variety of professional development opportunities that help you perform your best… more
- Sedgwick (Irving, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Liability - Property Damage - Irving, TX - Hybrid **ARE YOU ... from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.… more
- Sedgwick (San Antonio, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability - Bodily Injury - Irving, TX - Hybrid **PRIMARY ... : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high...excess carrier; responds to requests of directions in a professional and timely manner. + Communicates claim activity and… more
- Sedgwick (Irving, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (Commercial Auto) Are you looking for an opportunity to ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...your insights. + Take advantage of a variety of professional development opportunities that help you perform your best… more
- Sedgwick (Irving, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability - Irving or Plano, TX Are you looking for an ... your insights. + Take advantage of a variety of professional development opportunities that help you perform your best...THE ROLE** : To process low level general liability claims to determine benefits due; to ensure ongoing adjudication… more