Claims Examiner - Liability | Multi State Jurisdiction | Auto, BI, PD, GL | Licensing: NY Preferred and Reciprocal required Sedgwick Claims Management Services, Inc.Claims Examiner - Liability | Multi State Jurisdiction | Auto, BI, PD, GL | Licensing: NY Preferred and Reciprocal requiredTXRemote$65,000–$85,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Medical Billing Specialist Allied TechMedical Billing SpecialistAustin, TXRemote$50,000–$62,000 / yearGreat medical billing support is about more than submitting claims -- it's about helping clients keep an important part of their business running smoothly so they can stay focused on delivering outstanding care. Familiarity with Google Workspace, Microsoft Office, Microsoft Teams, Slack, Zoom, EHR / practice management systems, medical billing software, and payer portals.
Senior Project Manager Iberdrola SASenior Project ManagerTXRemote$128,320–$160,400 / yearThe Project Manager will manage engineering and construction activities during the pre-construction and construction phases of new projects and during modifications to existing projects for Avangrid Renewables. This is applicable to employees that will work in electric transmission, operations, and cyber security business areas in Connecticut, Maine, Massachusetts, and New York within Avangrid Network and Corporate business areas.
Sr. Adjuster-Workers Comp Claims CopperPoint Insurance CoSr. Adjuster-Workers Comp ClaimsTXRemote$68,000–$98,500 / yearThe Workers' Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers' compensation claims to determine compensability. We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan).
Field Reimbursement Manager - South Region TX, AZ, LA, NM Inspire Medical Systems IncField Reimbursement Manager - South Region TX, AZ, LA, NMAustin, TXRemote$160,000–$190,000 / yearYou will be working independently in a fast paced, highly visible environment as well as collaboratively with the internal program prior authorization support services and field sales to ensure all customer needs are met supporting patient therapy access and communicating coverage challenges across specific payer channels with guidance on how to navigate and minimize those potential hurdles. Both proactively and reactively navigate and address individual account and patient access issues that occur by partnering with external and internal stakeholders including internal reimbursement team and field sales colleagues.
Field Property Claims Adjuster - Austin, TX Farmers Insurance GroupField Property Claims Adjuster - Austin, TXAustin, TXRemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Medical Consultant Massachusetts Mutual Life Insurance CompanyMedical ConsultantAustin, TXRemote$107,700–$141,300 / yearYou will partner with underwriters and medical staff to evaluate sophisticated medical risks and deliver timely, evidence-based guidance that supports sound business decisions and exceptional customer outcomes. You will play a critical role in advancing medical risk assessment practices, enhancing consistency in decision-making, and ensuring medical guidelines reflect current clinical knowledge and emerging trends in insurance medicine.
Account Follow-Up Representative I Harris Computer SystemsAccount Follow-Up Representative ITXRemote$24–$26 / hourThe role is eligible to anyone who can work remote within the U.S. What your impact will be: Timely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient's insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution. Effectively responds to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from patients, agencies, and facilities in a timely manner.
Workers Compensation Claims Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated Client Sedgwick Claims Management Services, Inc.Workers Compensation Claims Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated ClientTXRemoteMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
NewRevenue Cycle Manager Wisdom Teeth GuysRevenue Cycle ManagerAustin, TXRemote$120,000–$140,000 / yearEnd-to-end revenue cycle: verification, coding support, claim submission, payment posting, AR and denial management, and patient collections across all markets. You’ll lead insurance verification, claims, and credentialing across all of our markets, own the metrics that drive our financial performance, and build the processes and team structure to scale as we open new markets and grow.
Claims Attorney (Municipal Entities) HCC Life Insurance CompanyClaims Attorney (Municipal Entities)TXRemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. The Tokio Marine HCC - Public Risk Group is seeking a self-motivated Claims Attorney to join our growing Claims Department and handle litigated and non-litigated claims primarily arising under Auto and General Liability, as well as potentially some Law Enforcement, Public Officials, and Employment Practices liability policies in various jurisdictions.
NewCustomer Service Representative (AR, IL, IA, KS, LA, MO, MN, NE, ND, OK, SD & WI) only TriWest Healthcare AllianceCustomer Service Representative (AR, IL, IA, KS, LA, MO, MN, NE, ND, OK, SD & WI) onlyAustin, TXRemoteFull timeAccurately assesses caller requests, answers caller inquires and processes requests while focusing on first call resolution and/or appropriate call escalation protocols. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.