- Sedgwick (Dallas, TX)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex Claims ... Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (San Antonio, TX)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner Workers Compensation (Remote) with CA Claims Experience ... **PRIMARY PURPOSE** **:** To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within… more
- Sedgwick (Austin, TX)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner Workers Compensation - TX, LA, OK, and AR **PRIMARY ... PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving… more
- Sedgwick (San Antonio, TX)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Auto **PRIMARY PURPOSE** : To analyze and process ... complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
- Sedgwick (Farmers Branch, TX)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Property - In office Dallas, Tx. - Estimating ... complex or technically difficult (up to $100,000) personal and commercial line property claims by scoping damages and completing an estimate or by obtaining a… more
- Intermountain Health (Austin, TX)
- **Job Description:** The Claims Examiner I is responsible for inbound calls from providers and health plans and adjudicates physician claims , in a timely and ... to and supports the corporation's quality improvement efforts. Processes medical claims (CPT, ICD, and Revenue Coding) at production standards, including timely… more
- Amazon (Houston, TX)
- …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 rapidly ... auto program. You will lead strategy on complex bodily injury auto claims , handling pre-litigation disputes and resolving litigated claims with cross-functional… more
- TEKsystems (Richardson, TX)
- …sensitive groups to review and resolve customer problems and complaints concerning claims matters and personally handles the claim through resolution. * Proactively ... relating to the severity of the stated disability or incident. * Adjudicate claims in accordance with established policies and procedures. * Interview, make calls… more
- XPO, Inc. (North Richland Hills, TX)
- …skills Preferred qualifications: + 1 or more years of experience as a cargo claims examiner , analyst or in a similar capacity working with liability and ... Associate Analyst, Claims - Hybrid Requisition Id: 376916 Business Unit:...**What you'll need to succeed as an Associate Analyst, Claims at XPO** Minimum qualifications: + Bachelor's degree or… more
- Sedgwick (San Antonio, 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 (Fort Worth, 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 (Frisco, TX)
- …Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Frisco, TX (Hybrid Schedule) Are you looking for an… more
- Molina Healthcare (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 ... days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and...for at least one core operations function + Previous examiner , Adjuster/ processing experience in at least two +… more
- Sedgwick (Austin, TX)
- …Suite 100, Austin, TX 78758.** **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
- Molina Healthcare (San Antonio, TX)
- …enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State… more
- Humana (Austin, TX)
- …investigation experience in managed care or CMS. + Prior health insurance claims experience + Demonstrated formal or informal people management + Excellent PC ... of two years of leadership experience + CFE (Certified Fraud Examiner ) or AHFI (Accredited Healthcare Fraud Investigator) **Additional Information** + Benefits… more
- Molina Healthcare (TX)
- …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all current Molina employees: If you are interested in… more