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Anderson Merchandisers
Plano, TX, United States
WE ARE LOOKING FOR GREAT PEOPLE TO JOIN OUR TEAM- just like you! Our associates have a lot in common. They have great interpersonal skills, enjoy working independently, are self-motivated, and have a relentless drive. Did we mention that while they are working hard, they also like to have fun? We offer flexible hours, competitive pay, and great b
Job Source: Anderson MerchandisersZelis Healthcare, LLC
Plano, TX, United States
Position Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this call, the Claims Settlement Speci
Job Source: Zelis Healthcare, LLCMarsh McLennan Agency
Dallas, TX, United States
For this role, we are looking to hire a Sr. level specialist if the right candidate is found. SUMMARY: As a Claims Specialist for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim. Duties include: You will submit claims
Job Source: Marsh McLennan AgencyAcosta Sales & Marketing
Irving, TX, United States
DESCRIPTION The Claims Resolution Specialist is responsible for validating and clearing claims against promotional offers, analyzing claims to determine their validity, and clearing claims in accordance with Acosta, client and customer policies and procedures. The Claims Resolution Specialist will communicate with internal and external business par
Job Source: Acosta Sales & MarketingAmTrust Financial
Dallas, TX, United States
Claims Predictive Analytics Specialist Job Locations US-United States Requisition ID 2024-17050 Category Analytics Position Type Regular Full-Time Overview The Claims Predictive Analytics Specialist will examine claims and other data sources to detect potentially fraudulent activity. They will conduct extensive research from both interna
Job Source: AmTrust FinancialAmTrust Financial
Dallas, TX, United States
Claims Data & Analytics Specialist Job Locations US-United States Requisition ID 2024-16563 Category Analytics Position Type Regular Full-Time Overview The Claims Data & Analytics Specialist is responsible for supporting the Claims organization by providing analytics and reporting to identify opportunities to improve efficiency and effec
Job Source: AmTrust FinancialINSHUR
Irving, TX, United States
We are looking for a Claim Specialist II (CS2) here at INSHUR. You'll be working on re-inventing insurance in exciting markets across multiple territories, including the US, UK, and the Netherlands, and new European countries and US states as we expand. Supported by (and reporting to) Chanel Jones, Cynthia Barrios, and Kristi Thompson, you'll be j
Job Source: INSHURINSHUR
Irving, TX, United States
We are looking for a Claim Specialist II (CS2) here at INSHUR. You'll be working on re-inventing insurance in exciting markets across multiple territories, including the US, UK, and the Netherlands, and new European countries and US states as we expand. Supported by (and reporting to) Chanel Jones, Cynthia Barrios, and Kristi Thompson, you'll be j
Job Source: INSHURDallas
Job Description Job Description CorVel in Dallas, TX is seeking a Claims Specialist for their Indemnity department. We are looking for experience handling Workers Compensation Indemnity claims in Texas, Oklahoma and Arkansas and a willingness to learn or have experience in additional states including Louisiana, Mississippi and Alabama. The Claims Specialist manages within company best practices in complex and non-complex workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.
This is a hybrid opportunity.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Receives claims, confirms policy coverage and acknowledgment of the claim
Determines validity and compensability of the claim
Establishes reserves and authorizes payments within reserving authority limits
Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision
Communicates claim status with the customer, claimant and client
Adheres to client and carrier guidelines and participates in claims review as needed
Assists other claims professionals with more complex or problematic claims as necessary
Requires regular and consistent attendance
Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”)
Additional projects and duties as assigned
KNOWLEDGE & SKILLS:
Excellent written and verbal communication skills
Ability to learn rapidly to develop knowledge and understanding of claims practice
Ability to identify, analyze and solve problems
Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
Strong interpersonal, time management and organizational skills
Ability to meet or exceed performance competencies
Ability to work both independently and within a team environment
EDUCATION & EXPERIENCE:
Bachelor's degree or a combination of education and related experience
Minimum of 1 year of industry experience and claims management preferred
State Certification as an Experienced Examiner
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $50,593 – $81,593
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
ABOUT CORVEL
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Hybrid
Email Alert for Claims Specialist - Indemnity jobs in Dallas
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