- CVS Health (Austin, TX)
- …we do it all with heart, each and every day. ** Claim Benefit Specialist ** Reviews and adjudicates claims in accordance with claim processing guidelines. ... Efficiently use multiple systems and screens to obtain and record claim information + Review claims information to determine the nature of a member's illness or… 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
- Alight (TX)
- …of Be Alight. Learn more at careers.alight.com **About the Role** The Health Navigation Claims Specialist position exists to work on behalf of our customers to ... coverage + Solving billing discrepancies, coding errors, and denied claims + Assisting with claim submission and/or...errors, and denied claims + Assisting with claim submission and/or resubmission as needed + Drafting, submit,… 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...manage the investigation, litigation, disposition, and settlement of specialized claims , in compliance with corporate claim standards… 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** ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… 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 ... process includes compiling the documentation and information needed to prepare the claim , preparing the claim , working within specific internal and government… more
- Zurich NA (Addison, TX)
- Commercial Property Claims Specialist II 126115 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... resources within authority limits. + Meeting quality standards by following best practices Claims Specialist II Basic Qualifications: + Bachelor's Degree and 3… more
- Zurich NA (Addison, TX)
- General Liability Litigated Claims Specialist 126205 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... At Zurich North America, we are seeking a Litigated Claims Specialist to join our high-performing **Commercial...clear, timely communication to customers and stakeholders throughout the claim process. + Ensure claims are handled… 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
- Prime Therapeutics (Austin, TX)
- …of that. It fuels our passion and drives every decision we make. **Job Posting Title** Claims Specialist Sr **Job Description** The Claims Specialist is ... external partners for the research of and resolution of claim issues. Additionally, this position serves as a subject...accredited institution or equivalent GED + 1 year of claims experience + Must be eligible to work in… more
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