- Hallmark Financial (Dallas, TX)
- Job Description: Job Summary The Compliance Specialist : Accurately processes monthly compliance review ensuring regulatory compliance . Essential ... the following. Other duties may be assigned. Process monthly and quarterly SOX compliance control testing. Assist with internal and external compliance audits.… more
- 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...maintain seamless case management. Balance customer satisfaction with policy compliance , ensuring a fair resolution for all. Maintain accuracy,… more
- PharmaCord (Austin, TX)
- …PharmaCord Lynk system, maintaining detailed records of reimbursement activities, including claims status, payments, and appeals. Generate reports and analysis as ... in relevant field. Certification examples include PACS (Prior Authorization Certified Specialist ), CHES (Certified Health Education Specialist ) or CCM in… more
- Zurich NA (Austin, TX)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor...location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a… more
- Zurich NA (Addison, TX)
- Occupational Accident Claims Specialist 126744 Zurich is currently looking for an Occupational Accident Claims Specialist I to handle disability and ... As part of our team, you will manage a claims caseload of low to moderate complexity, interpret policy...location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a… 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...location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a… more
- Lincoln Financial (Austin, TX)
- …this opportunity. **Requisition #:** 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product subject matter expert to ... multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and applying knowledge. You will analyze… more
- Sedgwick (Austin, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Professional Liability **PRIMARY PURPOSE** **:** To analyze complex ... or technically difficult miscellaneous professional liability claims ; to coordinate case management within Company standards, industry best practices and specific… more
- Zurich NA (Addison, TX)
- Workers Compensation Claims Recovery Senior Specialist 127715 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a ... Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims...location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a… more
- C&S Wholesale Grocers, Inc. (North Houston, TX)
- **Position Overview** As a Claims Investigator, you will be researching shortage claims based on calls received from our customer locations. These investigations ... by?** + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all...qualified Individuals with a Disability and Protected Veterans in compliance with Section 503 of the Rehabilitation Act and… 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 ... to provide prompt, efficient service while protecting the organization's assets. + The Claims Specialist II's main duty involves using discretion and independent… more
- Insight Global (Irving, TX)
- …with third-party administrators, healthcare providers, and legal counsel to manage claims effectively. Compliance & Documentation Maintain compliance ... Job Description The Workers Compensation Specialist is responsible for managing the end-to-end lifecycle of workers' compensation claims -from initial incident… more
- Travelers Insurance Company (Houston, TX)
- …to join our Strategic Resolution Group Claim team as a Major Case Specialist handling complex toxic tort, latent injury, sexual misconduct, environmental claims ... will independently manage our most challenging high frequency and high severity claims and accounts which routinely present unique, complex liability and coverage… more
- Kemper (Dallas, TX)
- …arbitration cases. This position involves reviewing subrogation demands, and moving claims to successful resolution. Additionally, the specialist will respond ... highly motivating and productive. **Position Summary** : The Adverse Subrogation and Arbitration Specialist at Kemper plays a critical role in resolving claims … 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 claims ... exposures. With general supervision, you will manage challenging large exposure claims which routinely present unique, complex liability and coverage issues. You… more
- Health Care Service Corporation (Richardson, TX)
- …internship is in Richardson, TX **What Are Your Responsibilities?** The Audit Specialist Intern responsibilities may include assisting with claim accuracy audits and ... findings for analysis and rebuttal with internal business partners that support claims and customer service to contribute to ensuring department, divisional and… more
- Entergy (The Woodlands, TX)
- **Job Title:** Capital Project Procurement Specialist **Work Place Flexibility:** Hybrid **Legal Entity:** Entergy Services, Inc.-ESI (OLD) **Please note:** ... The Woodlands, TX. The selected candidate will be placed as a Procurement Specialist , II, III, or Senior based on education, experience, and demonstrated success at… more
- Travelers Insurance Company (Houston, TX)
- …and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- OneMain Financial (Fort Worth, TX)
- …general direction and guidance of HR leadership and Legal + Process State Disability Claims as necessary. + Ensure compliance with state and federal leave laws, ... **Leave Of Absence Specialist ** **Job Description Summary** Reporting directly to the...the administration of ADA workplace accommodations. This role ensures compliance with federal, state and company policies, monitors case… more
- Woodforest National Bank (The Woodlands, TX)
- … claims in accordance with Regulation E and department/network compliance requirements Competencies Required: . Solid technology and internet searching skills, ... of one of the largest employee-owned banks in the country! The Dispute Specialist I is responsible for investigating and processing debit card and/or ACH dispute… more
