- Sedgwick (Irving, TX)
- … claims ' action plans to resolution, return-to-work efforts, and approves claim payments. + Approves and processes assigned claims , determines benefits ... claim action with claimant and client. + Ensures claim files are properly documented, and claims ...opportunities + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day 1 Sedgwick is… more
- Sedgwick (Austin, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. **PRIMARY ... PURPOSE** **:** To evaluate medical reports escalated due to deficient information utilizing evidence...provide leadership within the dedicated team of clinician and claim professionals in support of the dedicated program through… more
- Travelers Insurance Company (Austin, TX)
- …Openings** 1 **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader ... externally. + This position will oversee the following key areas: + Medical Claim Product Research, Strategy and Innovation: + Design and direct innovative,… more
- Sedgwick (Irving, TX)
- …professional needs. **PRIMARY PURPOSE** : Provides disability case management and routine claim determinations based on medical documentation and the applicable ... and making timely payments/approvals and adjustments, medically managing disability claims ; coordinates investigative efforts, thoroughly reviewing contested claims… more
- Allied Universal (San Antonio, TX)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU… more
- Sedgwick (San Antonio, TX)
- …to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to ... , dental vision, 401K on day one. **Skills & Knowledge** + Knowledge of medical terminology + Understanding of claims management + Excellent oral and written… more
- Sedgwick (Irving, TX)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- Houston Methodist (Houston, TX)
- …changes are needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), ... reduce financial risk and exposure caused by front end claim edits and retrospective denial of payments for services...Integrates the payer medical policies, case specific medical documentation, and claims information into a… more
- Methodist Health System (Dallas, TX)
- …to resubmit claims promptly and accurately. - Investigate and address claim denials promptly. Utilize knowledge of payor policies, medical coding guidelines, ... background in A/R follow up for family and specialty claims , able to identify, address, and resolve no response...experience in healthcare revenue cycle management. - Proficiency in medical billing software EPIC and electronic health record (EHR)… more
- Sedgwick (Irving, TX)
- …CA 91304 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable disability ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more