- Sedgwick (Austin, TX)
- … SPECIALIST **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
- Travelers Insurance Company (Austin, TX)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to… more
- WTW (Houston, TX)
- …As a Medical Claim Field Auditor, you will apply your medical claims audit, project management and claim processing and auditing experience ... environment + Claims processing knowledge/exposure to one or more administrator claim systems such as UNET, WGS, NASCO, ACAS, Proclaim, PowerMHS, Facets, ITS,… more
- Sedgwick (Plano, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...growth opportunities. A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. Sedgwick is… more
- CRC Insurance Services, Inc. (TX)
- …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage with insurance carriers to ... America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Manages and evaluates… more
- WTW (Houston, TX)
- **Description** As a Medical Claim Lead Auditor, you will apply your audit, project management and client management skills to lead client audits. You will serve ... Develop working relationship with vendor counterparts + Distribute individual claim /work queues to team in a timely manner +...Managed Care + Must demonstrate a high level of claims administration knowledge, including experience with medical ,… 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
- Highmark Health (Austin, TX)
- …and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs, ... claims + 3 years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years… 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 ... cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but… more
- Sedgwick (San Antonio, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. _As required… more