- Molina Healthcare (TX)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Sedgwick (Irving, TX)
- …and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; ... coordinates investigative efforts, thoroughly reviews contested claims , negotiates return to work with or without job accommodations, and evaluates and arranges… more
- Sedgwick (Irving, TX)
- …and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; ... coordinates investigative efforts, thoroughly reviews contested claims , negotiates return to work with or without job accommodations, and evaluates and arranges… 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 ...workers compensation, premium audit, underwriting) may be required. Provides quality claim handling throughout the claim life cycle (customer… more
- Kemper (Dallas, TX)
- …Litigation Adjuster will investigate, evaluate and handle to conclusion attorney represented injury claims , complex injury claims , and litigated claims . The ... Specialist will have advanced claim handling skills and demonstrated high quality results. **Position Responsibilities:** + Successfully handle any complex coverage… more
- Molina Healthcare (Dallas, TX)
- …test approach, strategy for test automation and test analytics, enforcing test quality standards, and providing whole project support and oversight. In addition to ... + SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting… more
- Methodist Health System (Dallas, TX)
- …candidate will possess a strong background in A/R follow up for family and specialty claims , able to identify, address, and resolve no response claims , denied ... skills with the ability to identify patterns, trends, and discrepancies in claims . - Effective communication and interpersonal skills, with the ability to interact… more
- Kemper (Dallas, TX)
- …for and deliver quality presentations of high exposure cases to upper claims management + Timely reserve losses and continue to monitor reserve adequacy + ... negotiation skills? Kemper is looking for experienced Represented Bodily Injury Claims Adjusters for our growing teams! This specialized position focuses solely… more
- Kemper (Dallas, TX)
- …Analyze management report data to identify trends that impact customer service, quality and profitability. + Proactively assess claims processes and develop ... severity assessment and exposure assignment of newly reported losses to appropriate Claims Adjusters. + Periodically review exposures and pending inventory to ensure… more
- Waste Connections (The Woodlands, TX)
- …develops and implements risk management and compliance policies/procedures, and manages claims and litigation. + Manages relationships with third party service ... policy renewal data. + Partners with all departments regarding incident reports and claims or losses. + Investigates, resolves, and responds to all property and… more