- City of College Station (College Station, TX)
- Risk Management Specialist Print (https://www.governmentjobs.com/careers/cstx/jobs/newprint/5118669) Apply Risk Management Specialist Salary $61,614.00 - ... Under general supervision of the Risk Manager, the Risk Management Specialist provides a range of professional administrative, technical, and analytical support… more
- USAA (Dallas, TX)
- …us special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate, ... evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will...in compliance with all state regulatory requirements. Property Adjuster Specialist focus on using technology and desk adjusting for… more
- Sedgwick (Austin, TX)
- …Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client ... claim request and documents decision rationale. + Completes medical review of all claims by reviewing medical...rationale. + Completes medical review of all claims by reviewing medical documentation received and applying practical… more
- UTMB Health (Galveston, TX)
- …correspondence according to procedures * Identifies denials and underpayments for appeal * Review , research, and processes denied claims * Appeal claims ... (19.99 hours a week) Patient Account Specialist - RCO PB Follow Up **Galveston, Texas,...be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional… more
- Urology Clinics of North Texas (Mesquite, TX)
- …billing, office-administered medications, infusion cycles, and chemotherapy regimen cycles. The specialist will ensure timely follow-up on claims , accurate ... Oncology Accounts Receivable Specialist Job Details Job Location 1650 Republic Pkwy...final resolution. + Identify and correct billing errors; resubmit claims to insurance carriers as needed. + Review… more
- CRC Insurance Services, Inc. (TX)
- …**Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Manages and evaluates General ... Liability claims affecting primary and excess policies in a fast-paced...and commercial and multi-line knowledge 3. Ability to critically review a claim file for relevant information, accurately access… more
- Sedgwick (Austin, TX)
- …for absence from work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes ... Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult...medical review of all claims to ensure information substantiates disability. + Provides clear… more
- Baylor Scott & White Health (Temple, TX)
- …Collects, reviews, and reports on quality control activities for all Pharmacy Services Specialist 1 staff. Including review and auditing reports as determined by ... **JOB SUMMARY** The Pharmacy Services Specialist 2 communicates with members, providers, and clients...assist with understanding the prior authorization process, and resolve claims processing and eligibility issues while adhering to department… more
- The Hartford (San Antonio, TX)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... team as we help shape the future. As a Claims Specialist , you will be responsible for...inclusive of litigation planning and execution, budgeting and bill review ; + Attending trials and mediations as necessary; +… more
- Molina Healthcare (Dallas, TX)
- …* Applies contract language, benefits and review of covered services to claims review process. * Contacts members/providers as needed via written and verbal ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and...that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine… more