- OneMain Financial (Fort Worth, TX)
- ** Claims Examiner ** The Claims Examiner is responsible for evaluating and processing claims on primarily one business/product line by performing all ... correspondence to internal/external customers. **In the Role** + Evaluate claims against eligibility requirements, provisions and applicable processes. + Enter… more
- Sedgwick (Plano, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation Are you looking for an opportunity to ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...AN IDEAL CANDIDATE?** To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication… more
- Sedgwick (Plano, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Non-Subscriber Claims Examiner - General Liability | Jurisdiction Texas | Hybrid - ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...CANDIDATE?** To analyze complex or technically difficult general liability claims to determine benefits due; to work with high… more
- Sedgwick (Irving, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability | Hybrid Are you looking for an opportunity to ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...CANDIDATE?** To analyze complex or technically difficult general liability claims to determine benefits due; to work with high… more
- Sedgwick (Irving, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Examiner - Auto & GL Are you looking for an opportunity to ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...complex or technically difficult general liability and auto liability claims to determine benefits due; to work with high… more
- Sedgwick (Dallas, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Examiner | General Liability & Auto with BI experience | NY ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...needs. **ARE YOU AN IDEAL CANDIDATE?** To analyze **Liability** claims on behalf of our valued clients to determine… more
- Sedgwick (Dallas, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , Bodily Injury | Remote **PRIMARY PURPOSE** : To analyze ... complex or technically difficult general liability claims to determine benefits due; to work with high...to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication… more
- Sedgwick (Dallas, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , Bodily Injury | Remote | Litigation **PRIMARY PURPOSE** : To ... analyze and process complex auto bodily injury transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope… more
- NTT America, Inc. (Plano, TX)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Claims Examiner to join our team in Plano, Texas (US-TX), United ... these roles you will** **be responsible for:** + Review and process insurance claims . + Validate Member, Provider and other Claim's information. + Determine accurate… more
- NTT America, Inc. (Plano, TX)
- …these roles you will** **be responsible for:** + Review and process insurance claims . + Validate Member, Provider and other Claim's information. + Determine accurate ... payment criteria for clearing pending claims based on defined Policy and Procedure. + Coordination...basis business requirement. **Roles and Responsibilities:** + Process Adjudication claims and resolve for payment and Denials + Knowledge… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- …responsible for investigating, evaluating, negotiating, and resolving personal lines property claims . Responsible for adjusting major and complex losses in their ... resolution plan. 2. Responsible for providing exceptional customer service and handles claims in accordance with prescribed authority and best claims practices.… more
- NTT America, Inc. (Plano, TX)
- …NTT are getting into contract with Client to manage End to End Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the ... these roles you will be responsible for:** + Review and process insurance claims . + Validate Member, Provider and other Claim's information. + Determine accurate… more
- Sedgwick (Irving, TX)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- Sedgwick (Dallas, TX)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- Sedgwick (Dallas, TX)
- …with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and ... Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner . + Monitors third party claims ; maintains periodical… more
- Sedgwick (Irving, TX)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles, reviews, and… more
- Molina Healthcare (Dallas, TX)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to… more
- Sedgwick (Dallas, TX)
- …& Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; and to ... within assigned group. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and operational expense… more
- CDM Smith (Dallas, 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...such as CPA (Certified Public Accountant), CFE (Certified Fraud Examiner ), or CFF (Certified in Financial Forensics). **EEO Statement:**… more
- Sedgwick (Dallas, TX)
- …processes and products + Documents activity in MCS; communicates MCS action with examiner via JURIS notes + Creates daily reports to manage workload and monitors ... GED required **Experience** One (1) year of general office experience required. Claims or medical records/billing industry experience preferred. Two (2) years of… more