- Molina Healthcare (San Antonio, TX)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... Standard Operating Procedures (SOPs). * Responds to provider correspondence related to claims recovery requests and provider remittances where recovery … more
- Carrington (Plano, TX)
- **Come join our amazing team and work remote from home!** The Sr Claims & Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- Sedgwick (San Antonio, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Veterinary Claims | Professional Liability | Remote ... **PRIMARY PURPOSE** **:** To analyze complex or technically difficult veterinary claims ; to provide resolution of highly complex nature and/or severe injury … more
- Sedgwick (Houston, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , E&O, D&O | Professional Liabilty **ESSENTIAL FUNCTIONS and ... RESPONSIBILITIES** + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on… more
- Allied Solutions (Plano, TX)
- …policy; + Determine the appropriate application of coverage and damage to identify those claims with the highest amount of recovery potential for EZ Claim Total ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...other adjusting tools; + Meet and exceed all established recovery and claim service standards and benchmarks for a… more
- Travelers Insurance Company (Austin, TX)
- …efficiently manage both allocated and unallocated loss adjustment expenses + Evaluate all claims for recovery potential; directly handle recovery efforts ... negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices....and/or engage and direct Company resources for recovery efforts. + Responsible for prompt and proper disposition… more
- DriveTime (Fort Worth, TX)
- …Known as, Your Next Destination)** This position involves assisting recovery vendors with questions, invoicing, and feedback regarding contracted expectations. ... addition, this is a customer facing role where the specialist serves as a liaison between the customer and...review, audit, and submit invoices for payment to our recovery vendors for repossession charges owed + Maintain schedule… more
- HCA Healthcare (Plano, TX)
- …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is valued? If you are… more
- CDM Smith (El Paso, TX)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... gather information from applicants, and understands each applicants' projects and recovery priorities. * Supports the communication process with the applicant about… more
- Cardinal Health (Austin, TX)
- …paper and online. + Oversees appeals and denials management to maximize revenue recovery and minimize financial leakage, ensuring all claims are accurately ... or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly resolves by follow-up &… more
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