- Elevance Health (Grand Prairie, TX)
- **Utilization Management Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in person training ... law_ **Hours:** Monday - Friday, 8am - 5pm PST The **Utilization Management Representative I** is responsible for coordinating cases for precertification and prior… more
- Towne Park (Grapevine, TX)
- …claims are reported timely and accurately and cooperates with the Risk Management department to resolve claims + Consistently follows the progressive ... policy guidelines. **Benefits:** Employees are eligible to enroll in medical, dental , and vision insurance, accident insurance, critical illness insurance, hospital… more
- DR Horton, Inc. (Arlington, TX)
- …Responsibilities*include the following. Other duties may be assigned. * Research background of claims * Monitor status of claims and update litigation database * ... Respond to subpoenas, garnishments, subrogation, property damage and pre-litigation claims * Coordinate information collection between outside counsel and divisions… more
- Walmart (Lockhart, TX)
- …Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures ... Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Elevance Health (Houston, TX)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
- Sedgwick (Austin, TX)
- …involved in the claims process + Other duties as assigned by management or as needed. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as ... with information regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair estimate and… more
- Sedgwick (Fort Worth, TX)
- …General Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and… more
- Sedgwick (Austin, TX)
- …casualty workers compensation industry background and skill set. Managing and understanding claims data & casualty claims data.** **PRIMARY PURPOSE** **:** To ... and pipeline. + Responsible for developing and overseeing client relationship management enterprise solutions. + Responsible for providing strategic direction for… more
- BrightSpring Health Services (Houston, TX)
- …knowledge of Medicaid claim regulations and processes. + Produces reports and keeps management informed of unpaid claims and claims pending follow-up. ... - 5pm We offer: DailyPay Flexible schedules Competitive pay Shift differential Health, dental , vision and life insurance benefits Company paid STD and LTD Tuition… more
- Sedgwick (San Antonio, TX)
- …Executive General Adjuster - Southwest Region **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss...+ Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently… more