- unifyCX (San Antonio, TX)
- …with Microsoft Office Suite and a knack for learning new tools quickly. Claims experience in the insurance industry (preferred but not required). What Will You ... Do? Take ownership of appeals and claims , investigating and analyzing each case to determine the...empathy, and professionalism. Collaborate with the team to resolve complex cases and maintain seamless case management. Balance customer… more
- The Hartford (San Antonio, TX)
- Specialist Claims - CH07DEConsultant Claims...Specialist level, based on the candidate's experience. The Claim Specialist and Claim Consultant ... handler positions within the Environmental unit of The Hartford's Complex Claims Unit (CCU), responsible for the...matter expertise and can involve higher exposures. The Environmental Claim Specialist or Claim Consultant… more
- 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
- 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
- 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
- Molina Healthcare (San Antonio, TX)
- …accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard deals, ... negotiations. Minimal ongoing engagement after contract. Synchronizes data among multiple claims systems when applicable, and the application of business rules as… more
- CDM Smith (San Antonio, TX)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... infrastructure projects. * Prepares complex project worksheets for the purposes of determining project...a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the… more
- Allied Universal (San Antonio, TX)
- … with red flags that suggest fraudulent behavior In relation to an Insurance claim . The SIU Specialist must use their extensive knowledge of Insurance policies ... experience conducting complex insurance investigations or adjusting complex insurance claims + Proficient understanding and...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… 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
