- 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
- Sedgwick (Austin, 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 (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 ... 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 ... cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but… more
- IQVIA (Houston, TX)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our...claims from HCPs or patients and vetting the claim against program specific business rules to determine if… 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 ... Calculates and pays benefits due; approves and makes timely claim payments and adjustments; settles claims within...opportunities + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day 1 The statements… more
- Citizens (Irving, TX)
- Description The FNMA(Fannie Mae)/FHLMC(Freddie Mac) Claims Specialist performs all tasks associated with reimbursement claims filed with FNMA and FHLMC. The ... process includes compiling the documentation and information needed to prepare the claim , preparing the claim , working within specific internal and government… more
- AssistRx (Dallas, TX)
- DUTIES AND RESPONSIBILITIES: + Processes medical copay claims in accordance with program business rules. + Liaison with other program-specific AssistRx resources ... by management. + Perform daily reconciliation of batch postings, including automated/manual claim inputs. + Analyze claims for accuracy based on insurance… more
- Sedgwick (Irving, TX)
- …properly documented and claims coding is correct.** May process low-level lifetime medical and/or defined period medical claims which include state and ... claims ' action plans to resolution, return-to-work efforts, and approves claim payments.** Approves and processes assigned claims , determines benefits due,… more