- Cognizant (Austin, TX)
- …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:** As Claims ... be responsible for timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to … more
- Sedgwick (Austin, TX)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... pursuant to the claim or client contract. + Manages subrogation of claims and negotiates settlements. + Communicates claim action with claimant and client.… more
- Providence (TX)
- …we must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, ... + Work with defense attorneys specializing in defense of medical negligence claims + Have direct responsibility...for each matter:** + Develop and document for each claim or lawsuit a plan of action for resolution… more
- Sedgwick (Austin, TX)
- …suggested by the claim status; and provides written resumes on specific claims as requested by client. + Maintains frequent diaries on complex or high exposure ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, General Liability **PRIMARY PURPOSE** : To...PURPOSE** : To supervise a team of General Liability Claim Specialists and administrative or technical staff for a… more
- Elevance Health (Houston, TX)
- …is responsible for pre and post payment and adjudication audits of high dollar claims for limited lines of business, claim types and products including ... dollar claims while maintaining acceptable levels of claims inventory and age. + Ensures claim ... including eligibility, system coding and pricing, pre-authorization, and medical necessity. + Contacts others to obtain any necessary… more
- Philadelphia Insurance Companies (Plano, TX)
- …engaging training to Claim Division staff on best practices, good faith claims handling, and relevant developments in the law to promote effective and compliant ... 50 and rated A++ by AM Best. Position Overview Claim Counsel will provide legal counsel and strategic guidance...and strategic guidance regarding commercial property and casualty insurance claims . Reporting to VP of Claims &… more
- Baylor Scott & White Health (Dallas, TX)
- …of lost wages for payroll and for all approvals of medical bills per claim file. + Pay and process claims within designated authority level. + Performs other ... and/or level **Job Summary** + Under the Safe Choice Claims Manager, the Safe Choice Claims Specialist...Identify subrogation potential. Maintain diary. + Review and evaluate medical and lost wages. Conduct a thorough investigation of… more
- Sedgwick (Frisco, TX)
- …+ Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only ... claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim… more
- Sedgwick (Houston, TX)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... claim or client contract. + Manages subrogation of claims and negotiates settlements. + Communicates claim ...opportunities + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day 1 Sedgwick is… more
- Molina Healthcare (Dallas, TX)
- …. + Manages a caseload of various types of complex claims . Procures all medical records and statements that support the claim . + Meets department quality and ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of … more