- 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
- Sedgwick (Austin, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** **:** ... to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices and… more
- Sedgwick (Austin, TX)
- …limits. + Manages the litigation process; ensures timely and cost effective claims resolution . + Coordinates vendor referrals for additional investigation and/or ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance General Liability Claims Examiner | Hybrid...through well-developed action plans to an appropriate and timely resolution . + Assesses liability and resolves claims … more
- Sedgwick (Austin, TX)
- …limits. + Manages the litigation process; ensures timely and cost effective claims resolution . + Coordinates vendor referrals for additional investigation and/or ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Texas Non-Subscriber Claims Examiner - Plano,...through well-developed action plans to an appropriate and timely resolution . + Assesses liability and resolves claims … more
- Sedgwick (Austin, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster I Workers Comp I Southeast WC experience required **PRIMARY ... with state agency. + Develops and manages workers compensation claims ' action plans to resolution , coordinates return-to-work... coding is correct. + May process complex lifetime medical and/or defined period medical claims… more
- Sedgwick (Austin, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex ... Claims & Litigation Experience Required **Must have experience with...through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the… 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
- 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
- Travelers Insurance Company (Austin, TX)
- …claimants or their legal representatives. + Recognize and implement alternate means of resolution . + Manages litigated claims . Develop litigation plan with staff ... evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle… 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
- 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
- CVS Health (Austin, TX)
- …and problem solve - Strong oral communication skills. Analyzes and approves routine claims that cannot be auto adjudicated. Applies medical necessity guidelines, ... Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements. + Documents claim information in the… more
- Humana (Austin, TX)
- …part of our caring community and help us put health first** The Resolution team handles all complaints for Humana, including formal grievances, appeals, inquiries ... the overall experience for our associates, members and providers. As the Resolution Team Operations Director (Director, Grievance and Appeals), you will be… 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
- 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 + ... Follow Up, you will make an impact by performing advanced level work related to resolution of hospital denials. You will be a valued member of the Cognizant team and… more
- Cardinal Health (Austin, TX)
- …+ Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly resolves by follow-up & disposition. ... maintain optimal account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to ensure timely… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …operational issues, including addressing questions, investigating discrepancies, and driving resolution with pharmacy partners. + Monitor and maintain operational ... + Work cross-functionally with Market Access on product access issues and Medical team on resource development and pull-through. + Develop relationships and work… more