- The Hartford (San Antonio, TX)
- …and successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and ... execute file strategies including investigation, valuation, disposition and settlement of assigned claims , in a manner consistent with corporate claim settlement… more
- CVS Health (Austin, TX)
- …improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims . You will be a key link in providing our ... do it all with heart, each and every day. ** Claim Benefit Specialist** Reviews and adjudicates claims ...willingly to change, and a positive, willing attitude. Prior medical claim processing experience is a plus.… more
- Sedgwick (Austin, TX)
- …FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional ... Workplaces in Financial Services & Insurance General Product and Liability Complex Claim Advisor - Multi-State Licensing Preferred - Hybrid - Sedgwick Offices **ARE… more
- Samsung SDS America (Plano, TX)
- …related to logistics claims handling and support continuous improvements to minimize claim recurrence. + Identify trends and root causes of claims through ... top-level third-party logistics company. The Innovation Operation Manager & Claims is responsible for leading process improvement initiatives and logistics-related… more
- CVS Health (Austin, TX)
- …competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience - DG ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Sedgwick (Austin, TX)
- …Coverage Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
- The Hartford (San Antonio, TX)
- …Unit will manage the investigation, litigation, disposition, and settlement of specialized claims , in compliance with corporate claim standards and procedures, ... and execution of the investigation, litigation, disposition, and settlement of specialized claims , in compliance with corporate claim standards and procedures,… more
- Sedgwick (Dallas, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim settlement up to… more
- AIG (Dallas, TX)
- …and management of indemnity, medical and legal aspects of highest valued, complex claims . + Reviews and analyzes TPA claim financials to ensure payments are ... closure. Provides settlement authority to TPAs and oversees negotiations to achieve claim settlements within authority limits. + Reviews claims for subrogation… more
- Cognizant (Austin, TX)
- …High School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge ... Claims Processors to join our growing team. The ** Medical ** ** Claims Processor** is responsible for the...Responsibilities** + Responsible for reviewing the data in the claim processing system (Facets) and comparing it with the… more
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