- Fortuna BMC (Irving, TX)
- Join Our Team as an Assistant Claims Examiner - Medicaid/Medicare Focus Are you someone who thrives on accuracy, empathy, and helping others navigate complex ... systems? We're seeking a dedicated Claims Processor to support the timely and precise handling...the timely and precise handling of Medicaid and Medicare claims . In this role, you'll be responsible for reviewing… more
- OneMain Financial (Fort Worth, TX)
- Job Description ** Claims Examiner Intermediate** The Claims Examiner Intermediate is responsible for evaluating and processing claims on primarily ... correspondence to internal/external customers. **n the Role** + Evaluate claims against eligibility requirements, provisions and applicable processes. + Enter… more
- Sedgwick (Fort Worth, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability - Bodily Injury - Irving, TX - Hybrid **PRIMARY ... : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high...to determine benefits due; to work with high exposure claims involving auto and general liability injury claims… more
- Sedgwick (Irving, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Roseville, CA **California workers compensation ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- Sedgwick (Irving, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (Commercial Auto) Are you looking for an ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (Plano, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation | Claims Examiner | Jurisdictions: TX, OK, and LA | Hybrid - Plano, ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**PRIMARY PURPOSE OF THE ROLE:** To analyze workers' compensation claims on behalf of our valued clients to determine… more
- Sedgwick (Fort Worth, 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
- NTT America, Inc. (Plano, TX)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Claims Examiner to join our team in Plano, Texas (US-TX), United ... + Work independently to research, review and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are… more
- NTT DATA North America (Dallas, TX)
- NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or Xcelys experience is a plus) Must be able to work Monday to Friday 7 AM to 4 PM ... + Work independently to research, review and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are… more
- NTT America, Inc. (Plano, TX)
- …training of NTT Data/Client + Work independently to research, review and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + ... quality scores above 98.5% PA and 99.75% FA. + Timely response and resolution of claims received via emails as priority work + Correctly calculate claims payable… more
- US Tech Solutions (Irving, TX)
- …**Schedule: M-F, 8-4** **Summary:** + P **rocesses less complex or small standard claims to ensure accurate and timely completion.** **Primary job duties:** + Enters ... insurance claims received electronically or in written form. + Answers...history. + Evaluates available information to validate straightforward basic claims . + Verifies policyholder information, policy effective dates, premium… more
- US Tech Solutions (Irving, TX)
- …6+ Months Contract** **Description:** + Processes less complex or small standard claims to ensure accurate and timely completion. + Essential Job Functions + ... Enters insurance claims received electronically or in written form. + Answers...history. + Evaluates available information to validate straightforward basic claims . + Verifies policyholder information, policy effective dates, premium… more
- NTT America, Inc. (Plano, TX)
- …+ Understand, Gathering and Prepare the requirements for Business. + Works under supervision with internal and external teams to understand customer requirements + ... Ability to elaborate on the details of a project + Collaborate with Automation Engineers, Machine Learning Engineers, Data Analysts and Business Intelligence Analyst to execute deliverables. + Must possess technical writing, decision making, and… more
- XPO, Inc. (North Richland Hills, TX)
- …skills Preferred qualifications: + 1 or more years of experience as a cargo claims examiner , analyst or in a similar capacity working with liability and ... Associate Analyst, Claims - Hybrid Requisition Id: 381428 Business Unit:...**What you'll need to succeed as an Associate Analyst, Claims at XPO** Minimum qualifications: + Bachelor's degree or… more
- Sedgwick (Fort Worth, 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
- Molina Healthcare (Fort Worth, TX)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to… more
- Sedgwick (Fort Worth, 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
- Kemper (Dallas, TX)
- …College Degree or equivalent work experience * Three years of insurance claims experience or related fraud analytics background. **Position Requirements:** + Strong ... and/or Analytics Academies are desirable. + Certified Insurance Fraud Analyst (CIFA), Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA)… more
- Molina Healthcare (Fort Worth, 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
