PART_TIME

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UNKNOWN

The ideal candidate brings extensive auto claims expertise, experience leading through other leaders, and a track record of using operational and financial insights to improve claims outcomes and organizational performance. In 2020, GAINSCO, Inc. and its subsidiaries were acquired, making a significant milestone that strengthened GAINSCO’s ability to grow and expand its reach in the personal auto industry market while continuing to build on its decades of specialized expertise.

MGA Insurance Company Inc

Director Claims Operations

In 2020, State Farm Mutual Automobile Insurance Company acquired GAINSCO, Inc. and its subsidiaries, making a significant milestone that strengthened GAINSCO's ability to grow and expand its reach in the personal auto industry market while continuing to build on its decades of specialized expertise. The ideal candidate brings extensive auto claims expertise, experience leading through other leaders, and a track record of using operational and financial insights to improve claims outcomes and organizational performance.

GAINSCO Inc., is a property and casualty insurance holding company. Through our insurance brand, GAINSCO Auto Insurance®, we concentrate our efforts on the nonstandard personal automobile market, specializing in minimum-limits personal auto insurance. GAINSCO was established in 1978 as a Texas corporation and is based in the heart of Uptown in Dallas, with a regional office in Miami. Our insurance operations are conducted through MGA Insurance Company Inc., a Texas corporation.

Gainsco Inc

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OTHER

This is a senior-level individual contributor position for an adjuster who understands Texas workers’ compensation regulations, can confidently make compensability decisions, and is comfortable taking ownership of a complex caseload. Join an established national claims organization with more than 30 years of experience providing workers’ compensation, claims management, loss control, and risk management services.

TEEMA GROUP

Workers Compensation Claims Examiner- Remote (TX)

WorkWolf

PRIMARY PURPOSE OF THE ROLE To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Supervises multiple teams of examiners, multiple bodily injury and property damage examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit.

Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.

Sedgwick Claims Management Services, Inc.

Claims Team Lead | Auto | Property Damage & Bodily Injury

PRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Skills & knowledge: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership/management skills, analytical and interpretive skills, ability to work in a team environment, and the ability to meet or exceed Performance Competencies.

Claims Team Lead, Auto

This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.

YEAR

Markel Corporation

Director & Senior Counsel, Complex Claims

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Venbrook works across the claims lifecycle with services that include Third Party Administration (TPA), Complex Claims Management, Catastrophe, Independent Adjusting, subrogation recovery, litigation management, investigative, and special investigations unit (SIU) services. Venbrook's team of experts and industry specialists partners with their clients to manage their risks, create security, promote growth, and add value by delivering best-in-class commercial property & casualty, employee benefits, and personal risk insurance products and programs.

Venbrook

Senior Claims Examiner — General Liability & Professional Lines

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FULL_TIME

Processes Provider contracts, run reports, and responds to inquiries regarding contract compliance issues; images and indexes contracts and return images to network subcontractors; conducts quality assurance activities to ensure image quality and completion of image activities. Technical Skills: Proficient with key databases, including Claims System, Medical Management System, Authorization/Referral Systems, and Provider Information Management System(s); working knowledge of claims reimbursement methodology and medical coding; healthcare or managed care experience.

TriWest Healthcare Alliance

Provider Data Resolution Spec

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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. Evaluate integrity of client data including actively participating with and supporting the Product and Account Management teams with trend analysis of payment and data variances.

HOUR

CorVel is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies. We are publicly traded (NASDAQ:CRVL) and annual revenues exceeded $493 million in FY2015. Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace. CorVel has approximately 3,500 associates who serve more than 2,000 customers through a national branch office network covering all 50 states.

CorVel Corp

Revenue Cycle Specialist I

TAMUK offers the widest range of academic programs and degrees in South Texas, provides exceptional learning and residential facilities, conducts impactful research, awards substantial scholarships, and has awarded more than 80,000 degrees in the institution's 100-year history. Caring Campus: TAMUK employees embody the Institute for Evidence Based Change's Caring Campus mindset, maintaining a collegial and caring attitude towards students and each other to foster student engagement and a positive, collaborative work environment.

TEXAS A&M UNIVERSITY-KINGSVILLE

Athletic Trainer

Requirements: - Previous experience working in a dental office or medical administrative support role preferred. - Excellent communication and interpersonal skills to interact with patients, staff, and providers.

Cypress Mill Dental

Dental Receptionist

TAMUK offers the widest range of academic programs and degrees in South Texas, provides exceptional learning and residential facilities, conducts impactful research, awards substantial scholarships, and has awarded more than 80,000 degrees in the institution’s 100-year history. Caring Campus: TAMUK employees embody the Institute for Evidence Based Change’s Caring Campus mindset, maintaining a collegial and caring attitude towards students and each other to foster student engagement and a positive, collaborative work environment.

Texas A&M

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. 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.

Payment Integrity Analyst II

Payment Integrity Analyst III - QA Analyst

We provide pharmaceutical needs to assisted senior living (AL), skilled nursing facilities (SNF), long term care facilities, and other institutional care settings across Texas. The Billing Clerk is responsible for reviewing and performing daily data entry, creating and issuing invoices, and providing customer service to our patients and facilities.

Job description This

Pharmacy Billing Coordinator I

Deliver instruction in health information, medical billing, and medical coding topics, including:ICD-10-CM/PCS, CPT, HCPCS, Evaluation & Management (E/M) coding, Revenue cycle management, Insurance claims processing and denial management, HIPAA compliance, Healthcare documentation and auditing, Specialty coding (e.g., cardiology, family medicine, internal medicine), as applicable. Deliver instruction for a variety of educational projects including but not limited to continuing education, apprenticeships, contract and industrial training, and other special training projects, as well as international programs.

Texas State Technical College

Health Information & Medical Coding - Part Time Workforce Instructor

In this role, you'll play a key part in ensuring accurate claims processing, tackling denials, managing resubmissions, and driving successful collections for home health services across multiple payer sources. Communicate with payers to track and resolve balances, correct and reprocess claims, and appeal discrepancies.

Kids Care Home Health

A/R Collections Specialist

Lead and serve as a subject matter expert on special projects/audits related to reinsurance administration systems, legal contracts/treaties, new product launches and other initiatives. However, individuals residing within a 60-mile radius of a USAA office in one of the following locations: San Antonio, TX, Plano, TX, Phoenix, AZ, Colorado Springs, CO, Charlotte, NC, or Tampa, FL will be expected to work on-site 4 days per week.

Industry leading service that puts our memberships' needs first. We're dedicated to the financial well-being of members of the military and their families for generations to come. That's why we provide a variety of financial products and best-in-class service to help our members achieve their financial goals and plan for the future. Our history continues to drive our purpose. USAA began in 1922 with 25 Army officers who offered to insure each other's vehicles when no one else would. Today, their tiny organization has grown into a respected institution offering a full range of financial products to millions of members. We believe they'd be pleased to know that USAA remains true to their founding values of service, loyalty, honesty and integrity. In 1922, when 25 Army officers met in San Antonio, Texas, and decided to insure each other's vehicles, they could not have imagined that their tiny organization would one day serve over 8 million members and become one of the only fully integrated financial services companies in America. We believe they would be pleased to know that USAA has remained true to their founding values of service, loyalty, honesty and integrity.

USAA

Reinsurance Analyst Senior

Oversees the preparation of disability applications for short-term, long-term and TRS; provides company with all required documents and completes agency coordinator statements; coordinates with Family Medical Leave, sick pool or other leave benefits. Under general supervision administers the employee benefits programs with regard to enrollment, claims processing, premium collections, and other requirements for medical, life and other benefits plans offered to University employees and retirees.

Texas Southern University

Senior Benefits Specialist

Claims and Appraisal experience preferred demonstrating the ability to proficiently and effectively manage assigned claims with minimum work direction. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities.

Claims Processor Jobs in Texas

Director Claims Operations MGA Insurance Company Inc

Director Claims Operations Gainsco Inc

Workers Compensation Claims Examiner- Remote (TX) TEEMA GROUP

Claims Team Lead | Auto | Property Damage & Bodily Injury Sedgwick Claims Management Services, Inc.

Claims Team Lead, Auto Sedgwick Claims Management Services, Inc.

Director & Senior Counsel, Complex Claims Markel Corporation

Senior Claims Examiner — General Liability & Professional Lines Venbrook

Provider Data Resolution Spec TriWest Healthcare Alliance

Revenue Cycle Specialist I CorVel Corp

Athletic Trainer TEXAS A&M UNIVERSITY-KINGSVILLE

Dental Receptionist Cypress Mill Dental

Athletic Trainer Texas A&M

Payment Integrity Analyst II CorVel Corp

Payment Integrity Analyst III - QA Analyst CorVel Corp

Pharmacy Billing Coordinator I Job description This

Health Information & Medical Coding - Part Time Workforce Instructor Texas State Technical College

A/R Collections Specialist Kids Care Home Health

Reinsurance Analyst Senior USAA

Senior Benefits Specialist Texas Southern University

Experienced Heavy Truck Claims Adjuster - North Richland Hills, TX Federated Mutual Insurance Company

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