- Zurich NA (Dallas, TX)
- Underwriting Specialist OR Executive Underwriter- MM Complex Property 128720 Zurich is seeking a Underwriting Specialist OR Executive Underwriter- MM Complex ... This role will be filled at either the Underwriting Specialist OR Executive Underwriter- MM Complex Property Level. The...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… 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...to manage workflow. + Follow up on all oncology claims from billing through final resolution. + Identify and… more
- Aston Carter (Mckinney, TX)
- Job Title: Deductions Specialist Job Description We are seeking a dedicated Deductions Specialist to manage a specified territory categorized by Independent ... Sales Representatives. This role involves resolving pricing claims and deductions by validating customer debit memos against system support while collaborating… more
- Travelers Insurance Company (Austin, TX)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- CRC Insurance Services, Inc. (TX)
- …America) **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...financial partners. 2. Countrywide Litigation Management providing world class claims service to our clients, developing and executing litigation… more
- Sedgwick (Austin, TX)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and ... work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all … more
- HCA Healthcare (Plano, TX)
- …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is valued? If you are… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Pharmacy Services Specialist 2 communicates with members, providers, and clients to explain Health Plan pharmacy benefits, assist with ... understanding the prior authorization process, and resolve claims processing and eligibility issues while adhering to department...causes and address concerns. In addition, the Pharmacy Services Specialist 2 serves in a leadership capacity as a… more
- Molina Healthcare (Dallas, TX)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
- Woodforest National Bank (The Woodlands, TX)
- …of one of the largest employee-owned banks in the country! The Dispute Specialist I is responsible for investigating and processing debit card and/or ACH dispute ... claims , and Stop Payments, initiated by customers or on...Disability and Veterans. **Job:** **Operations* **Organization:** **Texas - Houston* **Title:** *Dispute Specialist I* **Location:** *Texas-The Woodlands* **Requisition ID:**… more