- Lincoln Financial (Austin, TX)
- …3-5 years experience in a behavioral health setting including 1 year in claims , disability management (STD/LTD), worker 's compensation , utilization review, ... Clinical organization. You will collaborate with Independent Consulting Physicians, Claims Specialists, and Nurse Disability Consultants to assist with reviewing… more
- Sedgwick (Irving, TX)
- …benefits due, makes timely claims payments and adjustments for workers compensation , Social Security Disability Income (SSDI), and other disability ... pursuant to a disability plan; to make timely payments and adjustments for workers compensation , Social Security Disability Income (SSDI), and other disability… more
- CDM Smith (San Antonio, TX)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- AUI Partners (TX)
- …other Non-Routine Reports - As soon as possible + Assist HR, Legal and Compliance on Worker Compensation claims and other claims involving the public, ... detect existing or 3) Incident Investigations: + Conduct Utility Claim Investigations within 24 hours and provide report for...gather material and evidence for use in hearings, lawsuits, workers ' compensation claims , and insurance… more
- Sedgwick (Irving, TX)
- …benefits due, makes timely claims payments/approvals and adjustments for workers compensation , Social Security Disability Income (SSDI), and other disability ... Sr **PRIMARY PURPOSE** : To provide disability case management and claim determinations based on complex medical documentation and the applicable disability… more
- Robert Half Accountemps (Dallas, TX)
- … claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Billing Manager. Procure payment or ... information concerning assigned payers to establish proper and timely payment of claims . * Determines average claim entry, processes timeframes for assigned… more
- Sedgwick (Austin, TX)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker , attorney and supervisor. + Identifies ... Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker , employer, and medical providers, create a case management strategy to facilitate… more
- Lincoln Financial (Austin, TX)
- …preferred * Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation , Utilization Review and/or nurse case management ... be responsible for reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a clinical resource for… more
- AUI Partners (TX)
- …inspections, equipment inspections, and tool inspections. + Investigate accidents, incidents, and worker compensation claims , ensuring timely and effective ... assigned objectives. + Assist the Safety Supervisor/Safety Team on Worker Compensation claims and other...as guidelines. Accident and Incident Investigations + Conduct Utility Claim Investigations within 24 hours and provide a report… more
- Prime Therapeutics (Austin, TX)
- …to elicit, define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT ... and serve as subject matter expert and mentor for other members of Claims IT team, including cross-training assigned BSAs on system requirements phase of assigned… more
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