- Acosta Group (Lewisville, TX)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… more
- AIG (Dallas, TX)
- Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex claims . Make your mark in Claims . ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- TEKsystems (Dallas, TX)
- …providers (eg Lawyers, Independent Adjusters, Experts). + Manage a portfolio of complex E&O claims from initial report to final resolution + Oversee and direct ... investigations and report findings and recommendations. + Negotiate and bring claims to resolution , both directly and through defense attorneys. + Analyze and… more
- Molina Healthcare (Dallas, TX)
- …understanding of Molina claims life cycle and all processes that affect claims payment + Participates in defect resolution for assigned component + ... review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution… more
- Molina Healthcare (Dallas, TX)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... system and other applicable systems. + Participates in defect resolution for assigned component + Assists with development of...Benefits and contracts configuration in QNXT + Must have claims processing experience + Knowledge is SQL + Experience… more
- HUB International (Argyle, TX)
- …+ Provides benchmarking reports to client (annually, quarterly or monthly) + Manages claims and coverage issue resolution for clients' employees when elevated ... and understanding client needs. Serves as day-to-day contact and provides resolution for client questions and issues. **Duties and Responsibilities:** + Maintains… more