- The Hartford (San Antonio, TX)
- Specialist Claims - CH07DESpecialist Claims...This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty ... (HGS) Claims Division. As a Claims Specialist , you will be responsible for...or commensurate experience + Minimum of seven years handling complex litigated bodily injury claims + Familiarity… more
- The Hartford (San Antonio, TX)
- …we help shape the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and ... Specialist Claims - CH07DE We're determined... Specialist Claims - CH07DE We're determined to make a...all aspects of the most complex , high-value claims exhibiting a detailed knowledge of each claim… more
- Sedgwick (San Antonio, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , E&O, D&O | Professional Liabilty **ESSENTIAL FUNCTIONS and ... Health Care Risk Management (CPHRM) preferred. **Experience** Ten (10) years of complex claims management experience or equivalent combination of education and… more
- Molina Healthcare (San Antonio, TX)
- …or collections efforts are exhausted for write off approval. + Researches simple to complex claims payments using tools such as DSHS and Medicare billing ... **Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing… more
- The Hartford (San Antonio, TX)
- Specialist Claims - CH07DE We're determined... complex , high exposure, auto and general liability claims throughout the claim 's life cycle. As ... team as we help shape the future. As a Claims Specialist , you will be responsible for...trials and mediations as necessary; + Contributing to broader claim and enterprise goals by participating in audits, projects… more
- Deloitte (San Antonio, TX)
- …in a collaborative environment. As an experienced Epic Resolute Hospital Billing and Claims Application Analyst Project Delivery Specialist , you will have the ... the Southeast region. + Conduct Epic Hospital Billing and Claims application build, testing, refinement, and issue resolution, as...during Activation + Identify potential issues and refer more complex issues to appropriate level of support + Build… more
- Sedgwick (San Antonio, TX)
- …Workplaces in Financial Services & Insurance Remote Customer Service Specialist - Remote **SCHEDULE: Sun/Mon/Tues/Wed/Fri 9:30am-6:30pm EST** **PRIMARY PURPOSE:** To ... answer questions. + Accurately and efficiently enters new housing claims into the system. + Monitors inbound email for... into the system. + Monitors inbound email for claim questions, approvals, and new housing requests. + Contacts… more
- Sedgwick (San Antonio, TX)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and ... work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all … more
- Sedgwick (San Antonio, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Housing Specialist - Remote **PRIMARY PURPOSE:** Booking and extending Airbnb reservations in a ... or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education… more
- CDM Smith (San Antonio, TX)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- USAA (San Antonio, TX)
- …and impactful. **The Opportunity** As a dedicated Intermediate Bank Disputes Specialist , you will within defined guidelines and framework, protect the financial ... USAA and our members by thoroughly investigating and resolving complex and moderately complex fraud and non-fraud...an Analyst, you will be assigned cases involving error claims , requiring you to conduct in-depth investigations to ensure… more
- Deloitte (San Antonio, TX)
- …wants to work in a collaborative environment? As an experienced Epic Professional Billing Specialist , you will have the ability to share new ideas and collaborate on ... service delivery. Work you'll do/Responsibilities As a Project Delivery Specialist (PDS) at Deloitte, you will work within an...experience for assigned Epic module + Follow guidelines for complex to critical issue handling and ensure that the… more
- Molina Healthcare (San Antonio, TX)
- …issues. + Identifies and reports quality of care issues. + Assists with complex claim review including diagnosis-related group (DRG) validation, itemized bill ... care. **ESSENTIAL JOB DUTIES:** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in… more
- Molina Healthcare (San Antonio, TX)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... strategy, and act as a trusted voice in resolving complex business challenges that impact cost containment and regulatory...SAI targets are met. + Leads efforts to improve claim payment accuracy and financial performance without needing extensive… more