- 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
- 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 ... accredited institution or equivalent GED + 1 year of claims experience + Must be eligible to work in...simultaneously **Preferred Qualifications** + 2+ years of experience in claims , insurance, or healthcare + Extensive experience using Excel… 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
- 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
- Republic Finance, LLC (Austin, TX)
- …like the right opportunity in the financial services industry for you, apply today! As a Sr . Consumer Loan Specialist , you will be a key team member in the ... core values, company policies, operational procedures and compliance. Processes insurance claims , follow-ups and payments daily and maintains insurance log. Provides… more
- Boardwalk Pipeline Partners (Houston, TX)
- …found online at www.bwpipelines.com . We are currently looking for a Sourcing Specialist I/II/III/ Sr for our Houston, TX office. POSITION DESCRIPTION: + Procure ... or coordinate deliveries. + Facilitate the resolution of disputes and claims . + Address all Sarbanes-Oxley documentation requirements for qualifying transactions. +… more
- First National Bank of Omaha (TX)
- …CST for 2 to 3 weeks. Set Schedule: 8:00am to 5:00pm CST As a Fraud Specialist at FNBO, you will be expected to: * Communicate with customers who have experienced ... back against fraud * Determine the validity of fraudulent claims and hold cardholders accountable if needed Conduct an...and training to help you become a well-versed Fraud Specialist who can make a big difference to our… more
- CVS Health (Austin, TX)
- …following: + Executes both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from ... and timely support. + Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations… more
- Caris Life Sciences (Irving, TX)
- …than yourself, Caris is where your impact begins.** **Position Summary** The Sr . Compliance Specialist , Conflicts and Provider Auditing will provide support ... Working knowledge of federal healthcare regulations, including HIPAA, Anti-Kickback Statute, False Claims Act, and Stark Law. + Strong writing skills, especially in… more
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