- Sedgwick (Irving, TX)
- …75063 **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
- Sedgwick (Frisco, TX)
- …designed guidelines and policies. + Communicates claims status and current claim activity with client and appropriate medical contact; responds to inquiries ... and claim -specific issues. + Enters data into claims system(s) and ensures claim files are...Special Investigations Unit (SIU) as appropriate and coordinates independent medical examinations. + Performs other duties as assigned. +… more
- USAA (Dallas, TX)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes… more
- USAA (San Antonio, TX)
- …accurately manages claims outcomes. + Maintain accurate, thorough, and current claim file documentation throughout the claims process. + Apply proficient ... and framework, investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. You will confirm/analyze coverage,… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43110BR** **Extended Job Title:** Medical Billing Associate **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Employees in this ... verifying benefits, updating account information, correcting edits, performing follow-up on unpaid claims , billing or re billing claims to appropriate payer… more
- GE Aerospace (Houston, TX)
- …eligibility requirements, and limitations + Strong preference for long term care insurance claim experience + Working knowledge of medical terminology and ... In this high-impact role, you'll deliver sharp insights, adjudicate complex claims , and collaborate across teams using advanced analytics and emerging technology.… more
- Sedgwick (Irving, TX)
- …designed guidelines and policies. + Communicates claims status and current claim activity with client and appropriate medical contact; responds to inquiries ... about jurisdiction- and claim -specific issues. + Enters data into claims system(s) and ensures claim files are properly documented and claims coding is… more
- The Hunton Group (Houston, TX)
- …TX 77087, USA | HS | Full Time | Our comprehensive benefits package includes medical , dental and vision coverage after 60 days; a 401(k) plan, PTO, life insurance ... you will oversee the full warranty lifecycle-identification, validation, documentation, claim submission, and recovery-while ensuring compliance with company, OEM,… more
- Highmark Health (Austin, TX)
- …and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate level ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the … more
- Sedgwick (Irving, TX)
- …naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes ... your 2+ years' experience in a office setting or medical experience and grow with us! + A stable...professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability… more