- Cognizant (Austin, TX)
- ** Claims Process Specialist ( remote )** **JOB PURPOSE** Claim processors will review claim submissions, verify information, adjudicate the claim as per ... the business requirements. **ESSENTIAL FUNCTIONS** : + Examining and entering basic claims for appropriateness of care and completeness of information in accordance… more
- CVS Health (Austin, TX)
- …handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- The Hartford (San Antonio, TX)
- Specialist Claims - CH07DESpecialist Claims...must obtain and maintain a State Adjuster's License to process Property & Casualty Insurance Claims in ... our team as we help shape the future. The Claims Specialist is the highest claim handling...OTHER INFORMATION: This role can have a Hybrid or Remote work arrangement. Candidates who live near one of… 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... service, ensuring clear and effective communication throughout the claims process . + Collaborate across teams to… 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 ... **About the Role:** Zurich is seeking a dedicated Litigated Claims Specialist to join our team. In...to assess the scope and exposure of moderately complex claims + Expertise in the reserving process … 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 ... North America is seeking a **Senior Construction Professional Liability** ** Claims Specialist -** to support Claims ... service. **We are hiring this role as a remote position.** **Job Responsibilities:** + Document claims … more
- Zurich NA (Addison, TX)
- Sr. Claims Specialist , General Liability (IPZ) 122438 Zurich is seeking an individual interested in growing their claims career with our General Liability ... team. As a General Liability (GL) Senior Claims Specialist on our IPZ (international Program)...ability to develop and maintain strong relationships + Understands claims adjustment process and possesses the ability… more
- Zurich NA (Dallas, TX)
- General Liability Claims Specialist I 117447 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... our General Liability team. As a General Liability (GL) Claims Specialist , you will work with a...develop and maintain strong relationships. + Understanding of the claims adjustment process and ability to determine… more
- Kelly Services (Wichita Falls, TX)
- …always easy. That's where Kelly (R) Professional & Industrial comes in. We're seeking ** Claims Specialist ** to work in a temporary to hire opportunity with a ... will have the opportunity to work a hybrid schedule ( remote for two weeks and onsite for one week...so let's get to work. Apply to be a Claims Specialist today! As part of our… more
- Carrington (Plano, TX)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial ... occurs. + Respond to and make all corrections identified during the Quality Review Process within 24 hours of receipt. + Responsible for learning new skills and… more
- Molina Healthcare (Houston, TX)
- **Job Description** **Job Summary** Responsible for providing business process redesign, communication and change management for operations. Backend ... research, analyze and evaluate information to assess compliancy between a process or function and the corresponding written documentation. Use analytical skills… more
- CVS Health (Austin, TX)
- …do it all with heart, each and every day. Reviews and adjudicates routine claims on HRP system in accordance with claim processing guidelines. Claims ... CMS and Aetna compliance and business requirements. Analyzes and approves routine claims that cannot be auto adjudicated. - Applies medical necessity guidelines,… more
- US Anesthesia Partners (Dallas, TX)
- …the most accurate and up-to-date information is represented and accurately incorporating process and guideline changes into the program. + Assists the Sr Manager ... in contributing to ongoing business process improvement and departmental initiatives. + Partners closely with...Prepares and manages filings as needed post- rotation, coordinates claims , file handling and oversight and recovery with other… more
- Texas A&M University System (College Station, TX)
- …compliance. Unemployment Claims Administrator - 5% + Oversees the unemployment claims process by submitting timely responses and partnering with supervisors, ... Job Title HR Leave Specialist II Agency Texas A&M Engineering Extension Service...responsible for the DOT Drug Screening processes, TWC unemployment claims , and provides comprehensive leave information to new hires… more
- CVS Health (Austin, TX)
- …to assist in the claim adjudication process . Routes and triages complex claims to Senior Claim Benefits Specialist . Proofs claim or referral submission to ... with heart, each and every day. **Position Summary** **This is a full time, remote role** **Schedule- Monday- Friday PST or CST time zone** **Pay $18.00 per hour**… more
- Seek Now (Austin, TX)
- …experiences. Position Summary Seek Now is seeking a detail-oriented Technical and Compliance Specialist to join our team. This candidate must be located in the ... service capability qualifications. This position offers the flexibility of remote work with significant field engagement opportunities. Candidate Qualifications The… more
- Elevance Health (Plano, TX)
- …infusion centers, and the home setting._ **Title:** Senior Credit & Collections Specialist - Paragon Healthcare **Location:** Candidates must reside within 50 miles ... Texas. **Schedule** : Hybrid (1 day on-site, 4 days remote /week); Monday - Friday, 8:00am - 5:00pm. The **Senior...Friday, 8:00am - 5:00pm. The **Senior Credit & Collections Specialist - Paragon Healthcare** is responsible for complex collection… more
- Valmont Industries, Inc. (Brenham, TX)
- …the world with more reliable energy and access to renewables, enhancing connectivity in remote and urban locations to create a sustainable future and so much more. ... of Valmont's EHS Playbook for the site. The EHS Specialist must be able to align the site's EHS...related to EHS events such as injuries, workers compensation claims , near miss incidents and internal and external inspections,… more
- Sedgwick (Irving, TX)
- …their employees regain health and productivity, guide their consumers through the claims process , protect their brand and minimize business interruptions. Our ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer IT Systems Analyst Specialist **PRIMARY PURPOSE** : To review, analyze and document software… more
- Elevance Health (Plano, TX)
- **Senior Credit and Collections Specialist ** A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing ... centers, and the home setting. **Location:** This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one of… more