- CRC Insurance Services, Inc. (Fort Worth, TX)
- …Examiners and performance of same. 2. Review all new losses assigned to Claims Examiner team. Provide effective technical direction and ongoing guidance, ... industry regulations, and best practices. 4. Extend settlement authority on claims exceeding an Examiner 's authority. 5. Assist with hiring, training,… more
- Sedgwick (San Antonio, TX)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance General Liability Claims Team Lead | Remote TX | Dedicated Client ... training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a… more
- USAA (San Antonio, TX)
- …dwelling and liability claims + 2+ years prior management experience managing Examiner Level claims professionals (complex property) + P&C claims ... special and impactful. **The Opportunity** As a dedicated Manager, Claims Operations, you will lead and be accountable for... handling skills. + Acquisition and maintenance of applicable insurance adjuster license within 6 months time in role.… more
- Sedgwick (Irving, TX)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles, reviews, and… more
- Sedgwick (Austin, TX)
- …and monitor individual claim activities; to provide** **technical/jurisdictional** **direction to examiner reports on claims adjudication; and to maintain a ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Team Lead - Liability | Dedicated Client l...projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles… more
- Sedgwick (Dallas, TX)
- …or GED required. Associate degree preferred. **Experience** Two (2) years of claims management or insurance experience or equivalent combination of education ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and...Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple… more
- Centene Corporation (Austin, TX)
- …and Accredited Health Care Fraud Investigator or a Certified Fraud Examiner . _** **Position Purpose:** Investigate allegations of healthcare fraud and abuse ... activity. Assist in planning, organizing, and executing special claims investigations or audits that identify, evaluate and measure potential healthcare fraud. +… more
- Kemper (Dallas, TX)
- …(FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are ... College Degree or equivalent work experience * Three years of insurance claims experience or related fraud analytics background. **Position Requirements:** +… more
- Prime Therapeutics (Austin, TX)
- …Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the ... or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations/ claims experience. + Ability to manage workload while simultaneously working… more
- Highmark Health (Austin, TX)
- …reports according to state regulations. Responsible for updating annually the changes in insurance laws with regard to lines of business + Coordinates data extracts ... **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in… more