- Kelsey-Seybold Clinic (Pearland, TX)
- …Services Supervisor, the Claim Edit Follow-Up Representative is responsible for processing the electronic claims edits, "front end "edits, as well as ... claims edits from secondary claims . In the event a claim edit...standards and performance measures for this position **Job Title: Claims Processing Specialist** **Location: Pearland Administrative Office**… more
- IQVIA (Houston, TX)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- Sedgwick (Houston, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- NTT America, Inc. (Plano, TX)
- …an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Claims Processing Associate - Remote to join our team in Plano, ... this Role the candidate will be responsible for:** + Processing of Professional claim forms files by...schedule **Requirements:** + 3 year(s) hands-on experience in **Healthcare** Claims Processing + 2+ year(s) using a… more
- Sedgwick (Fort Worth, TX)
- …expertise preferred. **Skills & Knowledge** + Subject matter expertise in worker's compensation claims and/or liability claims processing + Ability to obtain ... By joining Sedgwick, you'll be part of something truly meaningful. It's what our...and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues,… more
- Sedgwick (Dallas, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...maximize settlement. + Performs coverage analysis and opinion as part of the claim process including all… more
- Sedgwick (Austin, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Sedgwick (Irving, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Sedgwick (Plano, TX)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Sedgwick (Fort Worth, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more