- HCA Healthcare (Austin, TX)
- …exercise sound judgment. **Qualifications you will need:** + Minimum 1-2 years' experience in Medical Insurance Claims Follow-up for a facility, medical ... issues and thereby affect payment and/or bringing them to resolution . **What you will do in this role:** +...perform pertinent follow-up. + Reconcile balances and payments between insurance companies and client's computer systems. + Medical… more
- Sedgwick (Austin, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Medical Malpractice (Professional Liability) **PRIMARY ... PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution...required. **Skills & Knowledge** + In-depth knowledge of appropriate medical malpractice insurance principles and laws for… more
- Sedgwick (Austin, TX)
- …line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Professional Liability (A&E, D&O,...and omissions, architects and engineers, and directors and offers claims ; to provide resolution of highly complex… more
- Amazon (Austin, TX)
- …and TPAs. . Field and address business partners on-going questions and issues through claims resolution as needed. . Partner with internal teams to proactively ... TPAs. * Field and address business partners on-going questions and issues through claims resolution as needed. Internal job description Basic Qualifications - 4+… more
- Sedgwick (Austin, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - General Liability **PRIMARY PURPOSE** : To analyze ... limits. + Manages the litigation process; ensures timely and cost effective claims resolution . + Coordinates vendor referrals for additional investigation and/or… more
- Sedgwick (Austin, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Surety Claims Advisor **PRIMARY PURPOSE** **:** To analyze complex or ... technically difficult contract surety bond claims ; to provide resolution of highly complex...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Sedgwick (Austin, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Bodily Injury (Auto) **PRIMARY PURPOSE** : To analyze and ... process complex auto and bodily injury claims by reviewing coverage, completing investigations, determining liability and...and to move the file towards prompt and appropriate resolution . + Identifies and pursues subrogation and risk transfer… more
- Mass Markets (Killeen, TX)
- …a trusted partner in the industry. We are looking for call center claims representatives to support inbound customer service, help desk, and back-office processing. ... to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures… more
- Cognizant (Austin, TX)
- …following benefits for this position, subject to applicable eligibility requirements: + Medical /Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off + ... world. Together, we're improving everyday life. **Job Summary** : The Claims Encounters Consultant is responsible for providing customers with application domain… more
- Humana (Austin, TX)
- …Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... caring community and help us put health first** The Medical Director actively uses their medical background,...regularly, and in some instances these may require conflict resolution skills. Some roles include an overview of coding… more
- Centene Corporation (Austin, TX)
- …inbound and outbound calls with members and provider offices to provide resolution to claims (ie: additional information requests and medication determination ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Travelers Insurance Company (Austin, TX)
- …and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... severe/complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O … more
- Cardinal Health (Austin, TX)
- …appeals, providing documentation and support as needed. + Reviews and analyzes insurance claims for accuracy and completeness before submission. + Investigates ... insurance verification or related role preferred. + Advanced knowledge of medical insurance terminology, policies, and procedures. + Skilled in using EHR… more
- Mass Markets (Killeen, TX)
- …ourselves as a trusted partner in the industry. We are hiring call center insurance agents who are positive, persuasive, and have the drive to succeed. In this ... proper procedures and documented knowledge articles to achieve first contact resolution and aides in policyholder retention + Leverages opportunities to expand… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …The local "ecosystem approach" creates a unified focus among account management, medical , patient access and market access to engage local healthcare systems and ... expertise regarding products and the approved conditions they treat. Otsuka's Medical Science Liaison (MSL) will provide deep clinical expertise on-demand and… more
- GuideOne Insurance (Austin, TX)
- …eligible salary. + Free Basic Life and AD&D, long-term disability and short-term disability insurance . + Medical , dental and vision plans to meet your unique ... bodily injury, personal injury, first-party property damage, wrongful death, insurance coverage, employment practices, and extra-contractual or bad faith litigation… more
- Humana (Austin, TX)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- Humana (Austin, TX)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- Cognizant (Austin, TX)
- …following benefits for this position, subject to applicable eligibility requirements: + Medical /Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off + ... In this role, the successful candidate performs advanced level work related to resolution of physician claim denials. This position will be responsible for root… more
- Mass Markets (Killeen, TX)
- …Processing, Hosting, and Related Services, 519190 All Other Information Services, 524291 Claims Adjusting, 524292 Third Party Administration of Insurance and ... account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts,...customer issues to the appropriate staff and managerial for resolution as needed. + Ensure first call resolution… more