- Kemper (Mcallen, TX)
- …arbitration cases. This position involves reviewing subrogation demands, and moving claims to successful resolution. Additionally, the specialist will respond ... and serve as an arbitrator when required. + Verify coverage and liability decisions, review property damage claims , and secure damage valuations. + Submit … more
- Methodist Health System (Dallas, TX)
- … claims , able to identify, address, and resolve no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial ... are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing to join our team...practice setting. **Your Job Responsibilities** : - Analyze and review outstanding claims , focusing on those with… more
- Urology Clinics of North Texas (Mesquite, TX)
- …from billing through final resolution + Correct and identify billing errors and resubmit claims to insurance carriers + Review insurance EOB and initiate appeals ... AR SPECIALIST Job Details Job Location 1650 Republic Pkwy...for a customer-focused office professional to perform collections, filing claims , handle appeals, and correspondence with payers. This position… more
- Sedgwick (Houston, 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
- CVS Health (Austin, TX)
- …Efficiently use multiple systems and screens to obtain and record claim information + Review claims information to determine the nature of a member's illness or ... all with heart, each and every day. **Claim Benefit Specialist ** Reviews and adjudicates claims in accordance...day. **Claim Benefit Specialist ** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit… more
- Travelers Insurance Company (Richardson, TX)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... to support flexibility. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely… more
- Travelers Insurance Company (Houston, TX)
- …reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim life cycle (customer ... You Do?** CLAIM HANDLING: + Directly handle assigned severe claims when Travelers has coverage of $2 million or...documentation tools in accordance with department guidelines. + Proactively review Claim File Analysis (CFA) for adherence to quality… more
- Prime Therapeutics (Austin, TX)
- …results with limited supervision. + Demonstrated strategic and analytical abilities to review and evaluate information such as claims data, suspicious patterns ... drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- USAA (San Antonio, TX)
- …us special and impactful. **The Opportunity** As a dedicated **Quality Assurance Specialist I** , you will support USAA's financial strength through measurement, ... analysis, and review of quality assurance and compliance related business processes....accuracy and compliance; conducts quality control reviews on non-complex claims processed by vendors. + Drives improved member service… more
- HCA Healthcare (Houston, TX)
- …and personal growth, we encourage you to apply for our Medical Collections Specialist opening. We promptly review all applications. Highly qualified candidates ... you have the career opportunities as a Medical Collections Specialist you want with your current employer? We have...work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims… more