- HCA Healthcare (Houston, TX)
- …**Introduction** Do you want to join an organization that invests in you as a Medical Insurance Claims Specialist ? At Parallon, you come first. HCA ... you have the opportunity to make a difference. We are looking for a dedicated Medical Insurance Claims Specialist like you to be a part of our team. **Job… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …as a medical office assistant, medical claims processor, or medical claims follow up specialist . **Experience** Required: Minimum of 3 years ... standards and performance measures for this position **Job Title: Claims Processing Specialist ** **Location: Pearland Administrative Office** **Department:**… 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 highly complex nature and/or severe injury claims ; to… 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
- 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 ... our team as we help shape the future. The Specialist role of Workers Compensation, Major Case Unit will...ethics requirements + Accurately and timely assess the indemnity, medical and expense exposure of assigned Specialized claims… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ), FI ( ... amount levels on customer service platforms, specifically by using technical and claims processing expertise. + Apply medical necessity guidelines, determine… 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
- 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 with all relevant parties and documents communication as well… 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 ... of the business unit's product(s) and system application(s) such as LoanSphere Claims . Qualified candidate will need to be efficient with property preservation… more
- Ascension Health (Austin, TX)
- …by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. + ... agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals using support systems to determine appeal outcomes. + Composes all… more
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