- CVS Health (Austin, TX)
- …we do it all with heart, each and every day. ** Claim Benefit Specialist ** Reviews and adjudicates claims in accordance with claim processing guidelines. ... retention by providing accurate and timely resolution in processing medical claims . You will be a key...willingly to change, and a positive, willing attitude. Prior medical claim processing experience is a plus.… more
- CVS Health (Austin, TX)
- …competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience - DG ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Alight (TX)
- …of Be Alight. Learn more at careers.alight.com **About the Role** The Health Navigation Claims Specialist position exists to work on behalf of our customers to ... situations that require special review + Assisting in reviewing medical , dental, vision, and pharmacy related claims ...coverage + Solving billing discrepancies, coding errors, and denied claims + Assisting with claim submission and/or… more
- Sedgwick (Austin, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- The Hartford (San Antonio, TX)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... Unit will manage the investigation, litigation, disposition, and settlement of specialized claims , in compliance with corporate claim standards and procedures,… 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
- Amazon (TX)
- …to help manage our patient inquiries, using CI CARE framework that makes One Medical unique. As a Centralized Support Specialist II Billing Specialist , ... handle inbound calls from One Medical patients (customers) regarding their medical bills, insurance claims , and payment inquiries. Daily activities include… more
- Lincoln Financial (Austin, TX)
- …at a Glance** We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization. As an ... Integrated Absence Claims Specialist , you will manage a workload...initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim… more
- Mass Markets (Killeen, TX)
- …in the industry. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical thinking skills, ... hear from you. This role involves handling inbound communications, evaluating warranty claims , and working closely with customers and service partners to ensure… more
- Ascension Health (Austin, TX)
- …Responsible for reviewing, investigating and resolving health-care claim payment appeals and communicating resolution/determination in accordance ... by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. +… more