SNI Companies has partnered with an amazing organization in North Austin for a unique role as a Claims Customer Support Representative with an active Property and Casualty license!. In this role you will be processing and adjudicating automotive related claims in a professional environment. Claims p...
SNI Companies has partnered with an amazing organization in North Austin for a unique role as a Claims Customer Support Representative with an active Property and Casualty license!. In this role you will be processing and adjudicating automotive related claims in a professional environment. Claims p...
As the Health Plan Claims System Support Specialist for a Health Maintenance Organization (HMO) and other Health Plans based in Texas, you will implement within the claims management system software the manual non-automated configuration process and report design as needed to optimize the claims pro...
Claims handling experience with coverage background, claims counsel experience and/or litigation experience is a plus. USLI is seeking a legal professional to join our Coverage team and contribute their legal training and experience to the handling of a diverse caseload of Professional, Casualty and...
As a Field Claims Specialist, you'll investigate and resolve moderate to severe property damage claims by phone and face-to-face. Claims inspections will include onsite and virtual inspection. Solid experience writing own estimates and handling claims start to finish. No two property claims are ever...
Commercial Claim Litigation Specialist. In this position you will investigate, evaluate, negotiate, and settle serious injury/damage claims involving moderate to large loss exposures in multi-jurisdictions, applying coverage, laws, and regulations. Evaluate all claims as the investigation develops a...
As a Commercial/Specialty Casualty Adjuster, you will be responsible to resolve all aspects of 1st and 3rd party injury claims of low to moderate complexity for personal lines as well as our commercial claims. Handle 1st party exposures to include Medical Payment coverage, PIP, Uninsured Motorists, ...
CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department. They will work closely with other members of the Commercial Services Operations team providing root ...
It's an exciting time here at Strategic Comp as we are continuing to grow in Texas and are adding an additional Senior Claims Specialist to our team!. Senior Claims Specialist position. A minimum of 10 years of Texas workers' compensation claims adjusting experience with higher exposure claims is re...
You can join one of the best companies to work for in Texas as a Claims Intake Specialist. As a Claims Intake Specialist, you will:. Identify claim types, including catastrophic, lost time, medical and other states claim, for system routing to the appropriate department for assignment. In this role,...
Distribute and direct losses and claim tracking for defined territory or agency base to support delivery of effective customer service and claim resolution and ensure team alignment with business goals. Accurately document, process and transmit loss information in order to determine potential damage...
Action Behavior Centers is seeking a Claims Specialist to join our RCM team!. We are looking for a motivated, top-notch Claims Specialist who wants to be a part of a stellar team and deliver exceptional results. ...
Our Claims Legal Specialist will act as an expert on requirements to properly resolve matters when Sentry is faced with a conditional demand from counsel for a claimant. Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, tec...
Priority Claims Specialist III - Remote. Primary responsibilities includes reviewing complex claims, patient records and hospital and physician billing practices and identifying any discrepancies or errors in payments made to Medicare providers; while maintaining support and communication with Clini...
Responsible for processing follow up actions on denied, unpaid and/or underpaid insurance claims, and responding to health plan correspondence primarily in Contract Manager. Communicates payer contracting/fee schedule issues impacting claims to CBO management. Submit Experian support cases regarding...
Develop and present training programs to internal claims departments and participate in roundtable conferences with claims personnel on legal coverage matters. USLI is seeking an experienced legal professional to join our Coverage team and contribute their subject matter expertise to the handling of...
Priority Claims Specialist - Remote. Utilize the company billing and collections system to identify and resolve any claims that have been unpaid, short paid and/or denied. Identify billing errors and submitted corrected claims insurance carriers. Licensed Medicare auditor or Certified Medical Audit ...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. ...
Working under minimal supervision, the Member Experience Specialist – Claims contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience by enhancing relationships with members through tracking and trending feedback utilizing various data sources. Works colla...
LTC Claims Eligibility Specialist . Must have Long Term Care (LTC) insurance/claims experience and benefit decision making experience to be considered**. Communicate claim information to all relevant parties. Document claim details accurately. ...
Prudential’s Group Insurance, Claim Operation is seeking an experienced and highly motivated individual to join our team as a Senior Complaints Resolution Specialist. This position is a multifaceted role requiring disability claims expertise and close collaboration with departmental management, comp...