- Philadelphia Insurance Companies (Plano, TX)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. Claims Specialist - G/L to join our team! Summary: Investigate, evaluate and settle more ... complex first and third party insurance claims . A typical day will include the following: Communicates...broad insurance areas, products or special contracts. Evaluates each claim in light of facts, policy considerations and corporate… more
- Zurich NA (Addison, TX)
- …Specialist 126744 Zurich is currently looking for an Occupational Accident Claims Specialist I to handle disability and medical accident claims within ... low to moderate complexity, interpret policy coverages, and analyze medical time lost benefits, while resolving claims ...analyze medical time lost benefits, while resolving claims within set authority limits. You will build internal… more
- Cognizant (Austin, TX)
- …claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support...* Be Responsible for reviewing the data in the claim processing system and comparing with corresponding UB or… 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 ... Safe Choice Claims Manager, the Safe Choice Claims Specialist II reviews, studies, and processes...Identify subrogation potential. Maintain diary. + Review and evaluate medical and lost wages. Conduct a thorough investigation of… more
- Travelers Insurance Company (Richardson, TX)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...**What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file… more
- Travelers Insurance Company (Houston, TX)
- …evaluating, reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim ... work location model that is designed to support flexibility. **What Will You Do?** CLAIM HANDLING: + Directly handle assigned severe claims when Travelers has… more
- Houston Methodist (Houston, TX)
- …changes are needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the...Integrates the payer medical policies, case specific medical documentation, and claims information into a… more
- Methodist Health System (Dallas, TX)
- … claims , able to identify, address, and resolve no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial ... to resubmit claims promptly and accurately. - Investigate and address claim denials promptly. Utilize knowledge of payor policies, medical coding guidelines,… more
- USAA (San Antonio, TX)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within defined guidelines and framework, investigate, evaluate,… more
- Rexel USA (Dallas, TX)
- …and delivering quality work, join Rexel USA as a Insurance Risk Management Specialist ! **The position of Insurance Risk Management Specialist will be based ... of our Dallas, TX location!** Summary The Risk Management Specialist is responsible for providing best practices in workers...and processes to control the cost of insurance and claims . What You'll Do + Provide best practices in… more