- CVS Health (Austin, TX)
- …the claim adjudication process. Routes and triages complex claims to Senior Claim Benefits Specialist . Proofs claim or referral submission to ... **Some Responsibilities, But Not Limited To:** + Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency,… more
- CVS Health (Austin, TX)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists. - Makes outbound calls to obtain required information ... handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication… more
- CVS Health (Austin, TX)
- …Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… more
- Travelers Insurance Company (Austin, TX)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Sedgwick (Austin, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** **:** To analyze complex ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Travelers Insurance Company (Austin, TX)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim ... position does not manage staff. **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without regard to coverage… more
- Trustmark (Austin, TX)
- …of claim handling process and procedures and experience in handling claims appropriately in accordance with the corporate claim philosophy, policy provisions ... role** This role is a dedicated training position for Claims that resides in the Knowledge Management & Customer...new and existing staff in all products including appropriate claim handling. Ensures that claim personnel follow… more
- Lincoln Financial (Austin, TX)
- …to staff our ever-growing claims organization. As a STAT / PFL Claims Specialist , you will be responsible for conducting initial and ongoing interviews ... and reviewing medical records and making timely and ethical claim determinations. You'll complete a thorough training to develop...diploma or GED + 1-2 years of experience in claims , leaves or customer service + Strong written and… more
- Zurich NA (Austin, TX)
- Claims Specialist , Auto PD 124280 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to ... autonomy, occasional circumstances requiring in-office attendance should be expected. Zurich is hiring a Claims Specialist I to join our dynamic Auto Claims … more
- Sedgwick (Austin, TX)
- …and/or the claims system regarding documentation required to process a claim , required time frames and claim status. + Communicates clearly and ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.… more
- Sedgwick (Austin, TX)
- …of claims , including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.… more
- HCA Healthcare (Austin, TX)
- …your application for the opportunity below:Clinical Denials Coding Review SpecialistParallon. ** Benefits ** Parallon, offers a total rewards package that supports the ... AirMed medical transportation. + Additional options for dental and vision benefits , life and disability coverage, flexible spending accounts, supplemental health… more
- HCA Healthcare (Austin, TX)
- …to join an organization that invests in you as an Impatient Coding Denial Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... have ACUTE CARE inpatient coding experience in a facility.** ** Benefits ** Parallon, offers a total rewards package that supports...We are looking for a dedicated Impatient Coding Denial Specialist like you to be a part of our… more
- Prime Therapeutics (Austin, TX)
- …and drives every decision we make. **Job Posting Title** Provider Relations Specialist Associate **Job Description** The Associate Provider Relations Specialist ... manner. This position is responsible for managing extension requests for the claims processing time frame and triaging inquires received in the Pharmacy Network… more
- Sedgwick (Austin, TX)
- …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and… more
- HCA Healthcare (Austin, TX)
- …Submit your application for the opportunity below:Medical Insurance CollectorParallon ** Benefits ** Parallon, offers a total rewards package that supports the ... AirMed medical transportation. + Additional options for dental and vision benefits , life and disability coverage, flexible spending accounts, supplemental health… more
- HCA Healthcare (Austin, TX)
- …is recognized. Submit your application for the opportunity below:Collector Parallon. ** Benefits ** Parallon, offers a total rewards package that supports the health, ... AirMed medical transportation. + Additional options for dental and vision benefits , life and disability coverage, flexible spending accounts, supplemental health… more
- HCA Healthcare (Austin, TX)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Appeals Specialist with Parallon you can be a part of an organization that is ... devoted to giving back! ** Benefits ** Parallon, offers a total rewards package that supports...our organization. We are looking for an enthusiastic Appeals Specialist to help us reach our goals. Unlock your… more
- Lowe's (Kyle, TX)
- …top-tier medical, dental and vision insurance. For information about our benefit programs and eligibility, please visit https://talent.lowes.com/us/en/ benefits . ... offered, location, education, training, and/or experience. For information regarding our benefit programs and eligibility, please visit https://talent.lowes.com/us/en/ benefits… more
- Lionbridge Technologies (Austin, TX)
- Lionbridge is actively seeking a Benefits Specialist to provide essential support for our leave and accommodation administration and general benefits ... parental leave) and accommodation requests, ensuring compliance. + Assist the Benefits Manager with day-to-day benefits administration and employee inquiries.… more