- Cognizant (Dallas, TX)
- …Clients draw upon our deep industry expertise, program and change management capabilities, and analytical objectivity to help improve business productivity, drive ... Architecture & Technology Selection, and Domain Solutions. The Cognizant Consulting team is a high performing organization that is continually expanding our… more
- USAA (San Antonio, TX)
- …+ Recognizes and solves routine and intermediate issues arising out of legal case management . + Follows practices and processes to achieve results to ... liability and questionable coverage issues. + Applies intermediate knowledge of claims litigation processes. + Proactively manages litigation and acts as liaison… more
- USAA (San Antonio, TX)
- …years direct claims litigation handling. + 2 years of direct team lead, supervisory, or management experience. + Demonstrated experience developing ... Bodily Injury Litigation area. This role will directly lead claims litigation case managers that handle litigation...business objectives. You will lead execution of operational risk management , portfolio and case level litigation … more
- Amazon (Houston, TX)
- …(DSP) program around the world across all of its various use cases. Amazon's Last Mile Claims team is seeking a talented claims professional to support our ... agreements. Essential Duties and Responsibilities Within the Last Mile Claims team , a successful candidate will support...include, but are not limited to, the following: . Claims management of moderate and complex bodiliy… more
- Providence (TX)
- …responsibility to foster teamwork, operational excellence, and effective communication within the claims team , including other Claims Managers, Claims ... NPDB and state agencies + Participate in department and claims team projects as assigned to develop...policy coverage letters + STARS / Riskonnect or similar claims management software experience **Salary Range by… more
- Sedgwick (Austin, TX)
- …public entity; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry ... + Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. + Represents… more
- The Hartford (San Antonio, TX)
- …As these claims are often in litigation, experience handling litigated Management Liability Claims matters through resolution and managing defense counsel is ... and to help others accomplish theirs, too. Join our team as we help shape the future. The Hartford...present at various industry events each year on risk management and claims topics Qualifications: + Juris… more
- UMB Bank (Austin, TX)
- …managing fraud dispute claims . + Continually evaluate the effectiveness of the case management process. + Validate both UMB and vendor performance and ... This role will also assist with the oversight and management of third-party card fraud claim vendors and ongoing...reporting. Responsibilities will include: + Manage a card fraud claims team . + Oversee third-party vendors and… more
- The Hartford (San Antonio, TX)
- …+ Willingness to attend and present at various industry events each year on risk management and claims topics + Willingness to organize and present webinars and ... Claims Consultant FL - CV07GE We're determined to...and to help others accomplish theirs, too. Join our team as we help shape the future. The Hartford… more
- Kelsey-Seybold Clinic (Houston, TX)
- …applicable reimbursement outcomes claims . Conduct pre/post analysis of high dollar claims and present summary to management . **Job Title: Medicare Claims ... **Responsibilities** Responsible for the adjudication of complex facility claims including hospital, durable medical equipment, home health services, skilled nursing… more
- Sedgwick (Austin, TX)
- …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Complex Claims Advisor | Remote **This job will support workers' compensation for ... and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the… more
- Sedgwick (San Antonio, TX)
- …that meets both the internal and external customers' requirements accurately into the claims management system. + Contacts the customer by telephone, written ... and Claims Positions **PRIMARY PURPOSE** **:** To expedite the Customer Service claims application process; to ensure correct case assignment; and to act as… more
- Lincoln Financial Group (Austin, TX)
- …Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist** to support our ever-growing claims organization in a work from home ... west coast employer groups. _Background details_ As a Group Claims Specialist, you will support our Short Term Disability...be successful. If you enjoy working in a fast-paced, team -oriented environment from the comfort of your own home,… more
- Sedgwick (Austin, TX)
- …legal department when settlement cannot be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + ... Workplace(R) Forbes Best-in-State Employer Property Desk Adjuster - Complex Claims **PRIMARY PURPOSE** : To handle losses and ...+ Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently… more
- USAA (San Antonio, TX)
- …**The Opportunity** As a dedicated **Director, Business Process Ownership for the** ** Claims Transformation and Auto Experience** ** team ** , you will oversee ... of business rules, gathering of requirements, artifacts, and process management . Guides team members in the ownership...**What sets you apart:** + 4+ years of Auto Claims experience. + Process Management and Project… more
- Crawford & Company (San Antonio, TX)
- …review files for claims adjusters and supervisors for appropriate referral for case management services. * May meet with employers to review active files. ... In Everything We Touch Position Summary To provide effective case management services in an appropriate, cost...employer and physicians. * Maintains contact and communicates with claims adjusters to apprise them of case … more
- Sedgwick (Bedford, TX)
- …with other duties as assigned + Understand and become proficient within our various case management systems **Scope of Work:** + Daily contact with dealership ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Auto Customer Case Coordinators **Our teams connect! We collaborate in the office . Our… more
- CVS Health (Austin, TX)
- …affordable. **Job Purpose and Summary:** The Care Manager is a member of the Care Team . The Care Manager is responsible for the care management of members that ... Care (TOC) Coach, and other members of the Care Team to improve the member's health outcomes, address social...problems, goals and interventions. + Based on assessments and claims data creates a care plan for members to… more
- Elevance Health (Grand Prairie, TX)
- …8:30 am - 5:00 pm.** **The Transplant Nurse II** is responsible for providing case management and/or medical management (UM/UR) for members receiving ... transplant services. Within the case management role and within the scope...increasing work assignments for the peer role on the team in preparation for advancement to the senior level.… more
- Sedgwick (Austin, TX)
- …While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful ... accredited college or university or equivalent work experience preferred. Certification in case management , rehabilitation nursing or a related specialty is… more
