- 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 for ... handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. Reviews and adjudicates routine claims on HRP system in accordance with claim processing guidelines. Claims ... Aetna compliance and business requirements. Analyzes and approves routine claims that cannot be auto adjudicated. - Applies medical...applies all cost containment measures to assist in the claim adjudication process. - Proofs claim or… 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
- Travelers Insurance Company (Houston, TX)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . 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 (Houston, TX)
- …team player with extensive industry experience to join our Strategic Resolution Group Claim team as a Major Case Specialist handling complex toxic tort, ... coach for claim professionals handling their own inventory of complex claims , building knowledge of those matters. Provide guidance and expertise in forging… more
- Travelers Insurance Company (Houston, TX)
- …enthusiastic team player with industry experience to join our Strategic Resolution Group Claim team as a Sr. Technical Specialist handling complex toxic tort, ... claim and coverage determination or in handling severe, highly complex liability claims and litigation, or comparable claim litigation or legal experience, OR… more
- Sedgwick (Austin, TX)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** : To analyze ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...pay for this role is_ **_$100,000_** _. A comprehensive benefits package is offered including but not limited to,… more
- The Hartford (San Antonio, TX)
- …others accomplish theirs, too. Join our team as we help shape the future. The Claims Specialist is the highest claim handling designation within the Complex ... Specialist Claims - CH07DESpecialist Claims...timely manage all aspects of the most complex, high-value claims exhibiting a detailed knowledge of each claim… more
- Cognizant (Austin, TX)
- ** Claims Process Specialist (remote)** **JOB PURPOSE** Claim processors will review claim submissions, verify information, adjudicate the claim as ... for multiple plans with automated and manual differences in benefits , as well as utilizing the system and written...claims issues and research, ensuring accurate and complete claim information, contacting insured or other involved parties for… more
- PennyMac (Fort Worth, TX)
- …of homeownership through the complete mortgage journey. A Typical Day The Hazard Insurance Claims Specialist will be responsible for filing insurance claims ... active foreclosure to reduce Pennymac's financial loss. As the Claims Specialist , you must be able...To learn more about our benefits visit: https://pennymacnews.page.link/ benefits For residents with state required benefit … more
- Mass Markets (Killeen, TX)
- …in the industry. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical thinking skills, ... hear from you. This role involves handling inbound communications, evaluating warranty claims , and working closely with customers and service partners to ensure… more
- Zurich NA (Austin, TX)
- Complex Liability Claims Specialist 123220 Zurich is currently looking for an experienced claims adjuster to join our Complex Liability Claims team. If ... injury, property damage, personal injury and advertising injury. The Claims Specialist is responsible for proactively managing...and caseload management, and must be able to document claim files by accurately capturing and updating claims… more
- Zurich NA (Addison, TX)
- Senior Claims Specialist Construction Professional Liability Claims 123069 At Zurich North America Claims we acknowledge that work life-balance and ... CA. Zurich North America is seeking a **Senior Construction Professional Liability** ** Claims Specialist -** to support Claims organization, with moderate… more
- Zurich NA (Addison, TX)
- Litigated Claims Specialist , Multi-National General Liability 122687 Zurich is seeking a talented Litigated Claims Specialist to join our dynamic ... KS; Omaha, NE; Gold River, CA As a Litigated Claims Specialist , you will be responsible for...in assessing the scope and exposure of moderately complex claims . + Proficiency in presenting claim resolution… more
- Zurich NA (Addison, TX)
- Litigated Claims Specialist , General Liability 121653 Zurich is currently looking for a Litigated Claims Specialist to support ourDirect Markets, General ... Omaha, NE; Gold River, CA **About the Role:** Zurich is seeking a dedicated Litigated Claims Specialist to join our team. In this role, you will handle… more
- Philadelphia Insurance Companies (Plano, TX)
- …by AM Best. The Surety Claims team is growing and looking for a Surety Claims Specialist to join our team! This person will have the opportunity to handle a ... wide array of claims from performance bond claims , litigation management,...sexual orientation and/or any other status protected by law. Benefits : We offer a comprehensive benefit package,… more
- XPO, Inc. (North Richland Hills, TX)
- …service skills + Excellent written, verbal, and telephone communication skills **About the Specialist , Claims job** Pay, benefits and more: + Competitive ... Specialist , Claims Requisition Id: 379497 Business...compensation package + Full health insurance benefits are available on day one + Life and… more
- Zurich NA (Addison, TX)
- Claims Specialist , Auto PD 123213 Zurich is hiring a Claims Specialist I to join our dynamic Auto Claims Team. This role offers an incredible ... issues while mastering claims handling and industry best practices. As a Claims Specialist , you will manage auto liability property damage and comparative… more