- unifyCX (San Antonio, TX)
- …with Microsoft Office Suite and a knack for learning new tools quickly. Claims experience in the insurance industry (preferred but not required). What Will You ... Do? Take ownership of appeals and claims , investigating and analyzing each case to determine the...empathy, and professionalism. Collaborate with the team to resolve complex cases and maintain seamless case management. Balance customer… more
- PharmaCord (Austin, TX)
- …helping them navigate the tricky process of getting access to their complex medication. You'll compassionately deliver an exceptional experience to many patients per ... and coding, excellent communication skills, and the ability to navigate complex reimbursement processes. The Executive Case Manager provides expertise on insurance… more
- The Hartford (San Antonio, TX)
- Specialist Claims - CH07DEConsultant Claims...Specialist level, based on the candidate's experience. The Claim Specialist and Claim Consultant ... handler positions within the Environmental unit of The Hartford's Complex Claims Unit (CCU), responsible for the...matter expertise and can involve higher exposures. The Environmental Claim Specialist or Claim Consultant… more
- The Hartford (San Antonio, TX)
- Specialist Claims - CH07DESpecialist Claims...This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty ... (HGS) Claims Division. As a Claims Specialist , you will be responsible for...or commensurate experience + Minimum of seven years handling complex litigated bodily injury claims + Familiarity… more
- Sedgwick (Austin, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist , General Liability (Property) **PRIMARY PURPOSE** : To analyze ... complex or technically difficult general liability claims ...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- Sedgwick (Austin, TX)
- … Specialist , Professional Liability **PRIMARY PURPOSE** **:** To analyze complex or technically difficult miscellaneous professional liability claims ; to ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see**… more
- Lincoln Financial (Austin, TX)
- …and applying knowledge. You will analyze and manage a caseload of appeals claims . You will review, investigate, and make claim determinations regarding coverage, ... by investigating & obtaining a wide range of complex information. Apply claim policies & procedures...to ensure fair, ethical, & timely management of assigned claims . + Analyze and interpret complex coverage… more
- Zurich NA (Addison, TX)
- General Liability Litigated Claims Specialist 126205 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... At Zurich North America, we are seeking a Litigated Claims Specialist to join our high-performing **Commercial...Ability to assess the scope and exposure of moderately complex claims + Expertise in the reserving… more
- Mass Markets (Killeen, TX)
- …communications via phone, email, and other channels. + Clearly and concisely communicate complex claim details and decisions to customers and internal teams. + ... analytical skills to make informed, evidence-based decisions quickly. + Handle escalated claims and conduct thorough investigations to resolve complex issues… more
- Zurich NA (Austin, TX)
- Marine Claims Senior Claims Specialist ...applies the component parts of an insurance policy for complex claims + Ability to follow reserving ... 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role...indemnity and expense in analyzing the potential exposure of complex claims + Ability to determine the… 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 ... managers and consulting physicians to make appropriate and timely claim determinations. + Reviewing complex medical records...diploma or GED + 1-2 years of experience in claims , leaves or customer service + Strong written and… more
- Philadelphia Insurance Companies (Plano, TX)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. Claims Specialist - G/L to join our team! Summary: Investigate, evaluate and settle more ... of investigation. Investigates circumstances of routine as well as complex claims to determine if and to...broad insurance areas, products or special contracts. Evaluates each claim in light of facts, policy considerations and corporate… more
- Baylor Scott & White Health (Dallas, TX)
- …**Job Summary** + Under the Safe Choice Claims Manager, the Safe Choice Claims Specialist II reviews, studies, and processes assigned claims within their ... efficient service while protecting the organization's assets. + The Claims Specialist II's main duty involves using...Provide status reports to management as needed. + Resolve complex , severe exposure claims , using high service-oriented… more
- CVS Health (TX)
- …all with heart, each and every day. **Position Summary** Reviews and adjudicates complex , sensitive, and/or specialized claims in accordance with plan processing ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Travelers Insurance Company (Houston, TX)
- …a technical coach for claim professionals handling their own inventory of complex claims , building knowledge of those matters. Provide guidance and expertise ... Group Claim team as a Major Case Specialist handling complex toxic tort, latent injury,... claim professionals handling their own inventory of complex claims , building knowledge of those matters.… more
- Travelers Insurance Company (Houston, TX)
- …claim and/or legal experience and technical expertise to evaluate severe and + complex claims preferred. + Able to make independent decisions on most assigned ... negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim … more
- Travelers Insurance Company (Houston, TX)
- …join our Strategic Resolution Group Claim team as a Sr. Technical Specialist handling complex toxic tort, latent injury, sexual misconduct, environmental ... With general supervision, you will manage challenging large exposure claims which routinely present unique, complex liability...or in handling severe, highly complex liability claims and litigation, or comparable claim litigation… more
- Travelers Insurance Company (Richardson, TX)
- … claim and/or legal experience and technical expertise to evaluate severe and complex claims . + Able to make independent decisions on most assigned cases ... negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim … more
- Sedgwick (Irving, TX)
- …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims… more
- Methodist Health System (Dallas, TX)
- …cycle management, specifically in addressing and resolving no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a ... to resubmit claims promptly and accurately. - Investigate and address claim denials promptly. Utilize knowledge of payor policies, medical coding guidelines, and… more
