- Adecco US, Inc. (Irving, TX)
- …Adecco is currently assisting one of its clients in their search for a ** Claims Examiner in Texas.** Pay rate: $ 45.00/hr Shift availability: Monday - ... on Apply Now and don't forget to upload your resume!** Our ideal ** Claims Examiner ** candidate must be able to: Analyze and process complex or technically… more
- Sedgwick (Austin, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Examiner , Bodily Injury . ** CLAIMS EXAMINER - BODILY ... some of the world's best brands? + Apply your examiner knowledge and experience to adjudicate complex customer ...examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- Sedgwick (Irving, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigation Claims Examiner - Liability - Irving, TX - Hybrid Are you looking ... some of the world's best brands? + Apply your examiner knowledge and experience to adjudicate complex customer ...examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- Sedgwick (Austin, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Dedicated - Telecommute Virginia ... **PRIMARY PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims … more
- Sedgwick (Fort Worth, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability - REMOTE (PIP exp a plus/NO FAULT -NY Lic ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**:** To analyze complex or technically difficult general liability claims to determine benefits due; to work with high… more
- Sedgwick (Irving, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance General Liability Claims Examiner - Hawaii License Required Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...: To analyze complex or technically difficult general liability claims to determine benefits due; to work with high… more
- Sedgwick (Houston, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner **PRIMARY PURPOSE** : To analyze and process complex auto and ... commercial transportation claims by reviewing coverage, completing investigations, determining liability and...RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- …the ability to process, evaluate, negotiate, adjust and resolve non-complex, standard claims in accordance with prescribed authority and best claims practices. ... the individual claim. With supervisor approval, negotiate with policyholders to settle claims of limited monetary value. 3. Develop and direct investigative plans.… more
- Sedgwick (Austin, TX)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- Sedgwick (Austin, TX)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner , client, injured worker, attorney and supervisor. + Identifies ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Sedgwick (Austin, TX)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles, reviews, and… more
- Sedgwick (Houston, TX)
- …& Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; and to ... within assigned group. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and operational expense… more
- Molina Healthcare (San Antonio, TX)
- …enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State… more
- Prime Therapeutics (Austin, TX)
- …Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the ... or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations/ claims experience. + Ability to manage workload while simultaneously working… more
- Travelers Insurance Company (Houston, TX)
- …on all accounts. Under close supervision, performs risk evaluations and claims investigations on less complex accounts as assigned. Participates in individual ... equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements of the… more
- Molina Healthcare (San Antonio, TX)
- …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all current Molina employees: If you are interested in… more