Claims Resolution Specialist jobs in Texas

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CLAIMS RESOLUTION SPECIALIST

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

CompanyHca Houston Er 24/7
AddressPasadena, TX
CategoryHuman Resources
Job typeOther
Date Posted 2 weeks ago See detail

Claims Resolution Specialist

Hca Houston Er 24/7

Pasadena, TX

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

Claims Specialist II, Construction

Markel Corporation

Houston, TX

Analyzes coverage and communicates coverage positions. Conducts, coordinates, and directs investigation into loss facts and extent of damages. Confirms coverage of claims by reviewing policies and documents submitted in support of...

Claims Specialist - Property Field Inspection

State Farm

Allen, TX

An annual bonus based on individual and enterprise performance. Annual merit increases. 401(k) contribution. Paid Time Off (PTO), plus: 5 days of Life Leave to take care of yourself and your family, Paid Volunteer Time, and an Ann...

Medical Claims Specialist/ Appeals

Innova Pain Center

Pearland, TX

$17 - $19 an hour

Billing and Coding Claims for inpatient and outpatient services. Work Aging Claims appeals and follow up. Data Entry. Medical Records request for processing of claims. Scanning EOB's and ERA's. Returning patient billing phone call...

Long Term Disability Claims Specialist - National Remote

Unitedhealthcare

Dallas, TX

$48,300 - $94,500 a year

All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.. Providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing, and adjudicating...

Technical Claims Specialist, Workers Compensation

Amtrust Financial Services, Inc.

Dallas, TX

$81.2K - $103K a year

Serve as a technical lead and subject matter expert in the development and execution of Technical Claims training programs. Partners with Instructional Designer and department leadership to analyze learning and skill gaps within c...

Products Liability Claims Specialist

National Oilwell Varco

Houston, TX

The Claims Manager will support different functions at the corporate risk management level as directed by the VP Risk Management. The Claims Manager will oversee and manage all auto liability, general liability and workers compens...

REMOTE Auto Bodily Injury Claims Specialist/Litigation Specialist

Lonestar

Houston, TX

Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss. Conduct thorough investigations and keep accurate and relevant docume...

Technical Claims Specialist

General Search & Recruitment

Houston, TX

Handle, negotiate, and resolve first and third-party commercial claims, ensuring compliance with company policies and state regulations. Conduct thorough investigations, maintaining constant communication with customers and releva...

Trust and Safety Claims Specialist: Incident Safety

Rover

San Antonio, TX

$30.88 - $39.79 an hour

Able to work evenings, weekends and holidays. Be able to work remotely and reside only in the approved states of FL, GA, ID, NC, TX, WA & MI. Have access to high-speed internet with a consistent 25 mbps download and 11 mbps upload...

Technical Claims Specialist

Berkley Oil & Gas

Houston, TX

$80,000 - $120,000 a year

Conduct and manage the investigative process, while demonstrating ongoing communication with the customer and relevant internal and external parties. Documenting files to include all key activities, contacts made, statements taken...

Associate Claims Specialist

Centerpoint Energy

Houston, TX

$55.6K - $70.4K a year

Responsible for large volume of liability claims, including, but not limited to, Property Damage, Bodily Injury and Automobile, filed against the Company across its operations footprint. Analyze and evaluates financial exposures a...

Independent Resolution Specialist (Greater Houston Residents)

Nutex Health

Houston, TX

Dental insurance. Employee assistance program. Health insurance. Life insurance. Paid time off. Professional development assistance. Vision insurance. 8 hour shift. Day shift. Monday to Friday. Do you reside in Houston and / or im...

Field Commercial Property Claims Specialist

Cna

Dallas, TX

Handles Commercial Property Claims in the field generally with moderate to high complexity and loss exposure of up to $150,000. This includes investigation inspection of loss site utilization of experts when needed and understandi...

Logistics Business Operation/Sr. Claim Specialist (EM6662)

Samsung Sds America

Plano, TX

Lead person in charge (PIC) of the carrier recovery process. Report daily progress to management and develop action plan to improve performance if needed. Provide coverage in the registration and verification process depending on...

Priority Claims Specialist - Remote

Hanger, Inc.

Austin, TX

Maintain a working knowledge and understanding of DMEOPS CPT and ICD-10 codes. Utilize the company billing and collections system to identify and resolve any claims that have been unpaid, short paid and/or denied. Review EOB's and...

Property Claim Resolution Trainee

The Travelers Companies, Inc.

Houston, TX

$46,900 - $77,400 a year

Provide quality claim handling throughout the claim life cycle while maintaining full compliance with internal and external standards and state specific regulations. Complete virtual, classroom, and on-the-job training which inclu...

Environmental Claims Specialist

Nov Inc.

Houston, TX

Provide management oversight of TPAs responsible for AL and GL claims Provide management oversight of toxic tort claims Supervise claim file reviews with TPAs, insurers and internal partners Maintain and/or obtain state adjuster...

Property Claims Specialist Field II - Fort Worth, Texas

Mercury Insurance Services, Llc

Fort Worth, TX

$73,127 - $127,722 a year

Investigate and resolve Homeowners claims of moderate complexity in a timely and efficient manner. Document with photographs, measurements, recorded interviews as needed, write a repair estimate to capture damages, and complete th...

Clinical Assistant I/Revenue Claims Specialist-Temp

Natera

Austin, TX

$22 - $25 an hour

Communicates directly with Prior authorization, Claims and Appeals, and lab teams to: Trouble shoot issues, verify samples, streamline processes and serve as a liaison between these teams and the genetic counselors. Assist with da...

Customer Service Resolution Specialist

Digital Room Inc.

Arlington, TX

$16 an hour

Review all quality claims received from Customer Service, social media & NPS agents. Manage quality claim inbox daily. Organize quality inbox to keep track of claims, resolutions and any follow up activity. De-escalate irate situa...

Claims Quality Specialist

Sagesure

Houston, TX

$86.7K - $110K a year

Perform open and closed claim file audits, analyzing against quality, compliance, and service standards. Perform customer contact phone call audits, analyzing against quality, compliance, and service standards. Synthesize reviews...

Claims Audit and Recovery Specialist (Medical)

Cedar Gate Technologies Inc

Houston, TX

$36.9K - $46.7K a year

Our culture appreciates and rewards creative ideas, especially those that achieve better outcomes for everyone Remote hybrid work schedule with flexible hours in Houston, Texas. This is viewed as a key position for our continued s...

CLAIMS ELIGIBILITY SPECIALIST

Continental General

Austin, TX

$45,000 - $55,000 a year

Investigates and maintains simple complexity claims, including but not limited to:Reviews and evaluates coverage and / or liability.Analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records...

Claims Process Specialist - Hybrid San Antonio Area

Saferide Health

San Antonio, TX

Facilitates data processing and ultimate payment to NEMT/TNC/IPT providers.. Performs reconciliation of billing data to encounter data. Works closely with the operations team to resolve issues.. Work with internal operations an...

Experienced Property Resolution Claim Rep

The Travelers Companies, Inc.

Houston, TX

$63,700 - $105,100 a year

Provide quality claim handling throughout the claim life cycle while maintaining full compliance with internal and external standards and state specific regulations. Resolves previously closed 1st party PI and BI Property claims t...

Resolutions and Receiverships Specialist, CG-1101-13

Federal Deposit Insurance Corporation

Dallas, TX

This position is located in the Division of Resolutions and Receiverships of the Federal Deposit Insurance Corporation and provides support in the areas ofResolutions and Receiverships activities of financial institutions.Additio...