- UNUM (Austin, TX)
- …Unum today! **General Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum ... and efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal… more
- CVS Health (Austin, TX)
- …credentialing/re-credentialing and contracting questions and issues. + Assist in compiling claim data for audits. Determines medical necessity, applicable ... services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive ...rights and responsibilities in accordance with contract. + Process claim referrals, new claim handoffs, nurse reviews,… more
- USAA (San Antonio, TX)
- …findings with core SIU teams. **What you'll do:** + Reviews data such as claims or policy files, medical bills, vendor billing, damage estimates, accident ... specialized identification, investigative, analytical, and advisory services, particularly when claim or underwriting fraud is suspected. Use various analytical and… more
- Sedgwick (Fort Worth, TX)
- …General Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... and non-complex National Accounts. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines claim forms and other records to determine insurance coverage. +… more
- Fresenius Medical Center (Plano, TX)
- …the Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accrual. In this capacity, the Patient ... AND RESPONSIBILITIES: + Under general supervision, identify and resolve routine outstanding claims . + Generate and analyze diverse reports and work lists in the… 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 (Dallas, TX)
- …negotiation skills? Kemper is looking for experienced Represented Bodily Injury Claims Adjusters for our growing teams! This specialized position focuses solely ... on the analysis & negotiation of bodily injury claims that are ordinarily assigned after the initial coverage determination, property damage handling, and… more
- Select Medical (Coppell, TX)
- …company match + Short and Long Term Disability + Personal and Family Medical Leave + PSS Ladder Program Eligibility and effective dates vary** **Responsibilities** ... complete with signatures and accurate information documented in the electronic medical record. + Verifies patient insurance, obtaining required authorizations before… more
- Select Medical (Richardson, TX)
- …company match + Short and Long Term Disability + Personal and Family Medical Leave + PSS Ladder Program Eligibility and effective dates vary** **Responsibilities** ... complete with signatures and accurate information documented in the electronic medical record. + Verifies patient insurance, obtaining required authorizations before… more
- Select Medical (Argyle, TX)
- …company match + Short and Long Term Disability + Personal and Family Medical Leave + PSS Ladder Program Eligibility and effective dates vary** **Responsibilities** ... complete with signatures and accurate information documented in the electronic medical record. + Verifies patient insurance, obtaining required authorizations before… more