- Sedgwick (Austin, TX)
- …assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total ... + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Philadelphia Insurance Companies (Plano, TX)
- …insurance policy language. + Interact and support all lines of business, addressing both first party and liability claims . + Working with outside local ... Claim Division staff on best practices, good faith claims handling, and relevant developments in the law to...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company… more
- Philadelphia Insurance Companies (Plano, TX)
- … Specialist - G/L to join our team! Summary: Investigate, evaluate and settle more complex first and third party insurance claims . A typical day will include ... broad insurance areas, products or special contracts. Evaluates each claim in light of facts, policy considerations and corporate...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company… more
- USAA (San Antonio, TX)
- …may be substituted in lieu of degree. + 4 years work experience handling liability and first party claims or progressive experience in litigation. + 2 years ... truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager- Auto, you will be responsible for managing moderately complex… more
- USAA (San Antonio, TX)
- …of degree. + 6 years of relevant work experience handling complex liability and complex first party claims or progressive experience in complex litigation. + ... truly makes us special and impactful. **The Opportunity** As a dedicated ** Claims Litigation Manager Senior** (Western States), you will responsible for managing… more
- Zurich NA (Austin, TX)
- …Monitor business processes to identify opportunities for customer care's improvements. + Handle first and third- party claims taking responsibility to resolve ... Auto Claims Call Center Senior Represent 127692 Zurich is...Resolve customer issues and complaints with a focus on first -call resolution. + Maintain detailed and accurate records of… more
- Robert Half Accountemps (Dallas, TX)
- … claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Billing Manager. Procure payment or ... Overall responsibility for contacting all assigned patient and insurance/third party payer accounts with a debit balance to ensure...assigned payers to establish proper and timely payment of claims . * Determines average claim entry, processes… more
- Highmark Health (Austin, TX)
- …requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and ... ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's… more
- Kemper (Dallas, TX)
- …Arbitration Specialist at Kemper plays a critical role in resolving claims and handling intercompany arbitration cases. This position involves reviewing subrogation ... demands, and moving claims to successful resolution. Additionally, the specialist will respond...: + Review subrogation demands based on liability and claim merits. + Ensure timely notifications and compliance with… more
- Kemper (Mcallen, TX)
- …the most cost-effective parts were utilized within Industry Standards. + Examine third- party Total Loss claims through photos, estimates, total loss valuations ... consistent with industry standards. **Position Responsibilities** : + Examine third- party vehicle damage through photos, estimates, and invoices to...they are in line with the facts of the claim and within Industry Standards. + Ensure adherence to… more