- Zurich NA (Austin, TX)
- Sr . Claims Specialist - Complex...Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our ... outcomes. + Ensure regular communication with clients, brokers, business units, and senior claims management. + Proactively manage and resolve high-severity… more
- Sedgwick (Austin, TX)
- …as 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… more
- The Hartford (San Antonio, TX)
- Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist , you will be responsible for… more
- HCA Healthcare (Houston, TX)
- …Do you want to join an organization that invests in you as a Medical Insurance Claims Specialist ? At Parallon, you come first. HCA Healthcare has committed up to ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...difference. We are looking for a dedicated Medical Insurance Claims Specialist like you to be a… 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...investigation. Investigates circumstances of routine as well as complex claims to determine if and to what extent coverage… 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 ( _fully insured_ ), Reinsurance, and/or RX claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing… 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. + ... that internal and/or regulatory timelines are met. + Research claims appeals using support systems to determine appeal outcomes....of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more
- CVS Health (Austin, TX)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- UTMB Health (Galveston, TX)
- Sr . Patient Account Specialist - Revenue Cycle Financial Clearance **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health ... two years Epic Revenue Cycle experience **Job Description** The Sr . Patient Account Specialist will be responsible...be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional… more
- Sedgwick (Houston, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr IT Systems Analyst Specialist **PRIMARY PURPOSE OF THE ROLE** : To lead ... combination of education and experience required. Experience in multi-line claims management processes and system requirements strongly preferred. **WORK… more
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