Current jobs related to Senior Claims Specialist - The Woodlands - Dagen
-
Senior Communications Specialist
2 weeks ago
The Woodlands, United States Houston Methodist The Woodlands Hospital Full timeAt Houston Methodist, the Senior (Sr.) Communications Specialist position is responsible for developing proactive hospital and executive communications, leading engaging internal communications strategies and executing external reactive and proactive communications and media relations by effectively cultivating and nurturing media relationships. The Senior...
-
Senior Communications Specialist
2 weeks ago
The Woodlands, United States Houston Methodist The Woodlands Hospital Full timeAt Houston Methodist, the Senior (Sr.) Communications Specialist position is responsible for developing proactive hospital and executive communications, leading engaging internal communications strategies and executing external reactive and proactive communications and media relations by effectively cultivating and nurturing media relationships. The Senior...
-
The Woodlands, United States Houston Methodist The Woodlands Hospital Full timePosition OverviewAt Houston Methodist, the Senior Ultrasound/Vascular Imaging Specialist role is designed for a seasoned professional who performs a wide range of standard to highly intricate diagnostic ultrasound procedures. This includes both routine and specialized vascular ultrasound examinations. As a vital member of the patient care team, the Senior...
-
Taxation Senior Specialist
7 days ago
The Woodlands, United States Gpac Full timeA well-established CPA firm is looking to expand its team by hiring a Tax Senior Associate. This organization is recognized for its consistent growth and provides clients with exceptional tax advisory services. The recent growth of the firm has opened up an exciting opportunity for a driven Tax Senior Associate to contribute to their success.Key...
-
Tax Advisory Senior Specialist
1 week ago
The Woodlands, United States Gpac Full timeA well-established CPA firm is looking to add a Tax Senior Associate to their dynamic team. This organization is recognized for its consistent growth and dedication to providing exceptional tax services to its clients. The recent expansion of the firm has opened up an exciting opportunity for a driven Tax Senior Associate to contribute to their success.Key...
-
Medical Collections Specialist
1 month ago
The Woodlands, United States Dst Management Full timeJob DescriptionJob DescriptionResponsibilities include:-Correcting and re-processing claims for an orthopedic group-Fielding patient calls regarding outstanding balances-Appealing insurance denials and manage a collections A/R-Working directly with the provider/med-staff to ensure maximum claim reimbursementCompany DescriptionDST Management (aka Avente...
-
Financial Analysis Senior Specialist
3 days ago
The Woodlands, United States MCK McKesson Corporation Full timeJob Title: Senior Financial AnalystCompany: McKesson CorporationAbout the Role: This role presents an exceptional opportunity to become a vital member of the Corporate Financial Planning and Analysis team at McKesson Corporation. The Senior Financial Analyst will collaborate closely with the Human Resources division to assist the Chief Human Resources...
-
Merchant Services Support Specialist
2 months ago
The Woodlands, United States Woodforest Acceptance Solutions Full timeJob DescriptionJob DescriptionDescription:The Merchant Services Support Specialist is a team role within the Merchant Support group, providing administrative and customer service support for the Merchant Services Branch Network, Merchant Customers and Merchant Sales team. Support Specialist use their developed knowledge and training to ensure the highest...
-
The Woodlands, United States Pave Talent Full timePosition OverviewAre you a seasoned professional in polyisocyanurate (polyiso) foam insulation for commercial roofing solutions? Do you possess practical experience with MDI-based isocyanates and polyester polyols utilized in rigid foam systems? Pave Talent is looking for a Senior Applications Engineer to bolster their expanding construction materials...
-
Healthcare Claims Examiner
13 hours ago
Saint John the Baptist, United States Powers Health Full timeJob Summary The Insurance Review Specialist will work under the supervision of the insurance review team to ensure timely submission and acceptance of claims. This role involves interacting with patients, insurance carriers, and system staff to resolve claims and accounts receivable balance issues. Key Responsibilities Follow-up on outstanding claims and...
-
Senior Polyiso Applications Specialist
4 weeks ago
The Woodlands, United States Pave Talent Full timeAre you an expert in polyisocyanurate (polyiso) foam insulation for commercial roofing applications? Do you have hands-on experience with MDI-based isocyanates and polyester polyols used in rigid foam systems? Our client's Polyurethanes division is seeking a Senior Applications Engineer to support their booming construction materials business, specifically...
-
Senior Polyiso Applications Specialist
4 weeks ago
The Woodlands, United States Pave Talent Full timeAre you an expert in polyisocyanurate (polyiso) foam insulation for commercial roofing applications? Do you have hands-on experience with MDI-based isocyanates and polyester polyols used in rigid foam systems? Our client's Polyurethanes division is seeking a Senior Applications Engineer to support their booming construction materials business, specifically...
-
Medication Support Specialist
4 days ago
The Dalles, OR, United States Flagstone Senior Living Full timeJoin Our Team as a Medication Support SpecialistAt Flagstone Senior Living, we are seeking dedicated individuals for the role of Medication Support Specialist. This position offers a commuter bonus of $100.00 for those traveling over 25 miles.Shifts Available:- Night Shift: 10pm - 6am with a shift differential of $2.00- Afternoon Shift: 2pm - 10pm with a...
-
The Woodlands, United States Emerus Holdings Inc. Full time**REMOTE OPPORTUNITY**The purpose of this position is to assist in managing the company's outstanding Self Pay receivables and customer satisfaction as it relates to billing for health services provided. The ideal candidate must be local to Houston, Conroe, The Woodlands or Huntsville, TX.Basic QualificationsHigh School Diploma or GED, required2+ years...
-
The Woodlands, TX, United States Houston Methodist Primary Care Group Full timePosition Overview:As a vital member of the Houston Methodist Primary Care Group, the Senior Medical Assistant plays a crucial role in delivering exceptional patient care and support services across multiple locations. This position demands a high level of expertise and proficiency in advanced medical procedures and patient interactions.Key...
-
Senior Communications Specialist
10 hours ago
The Woodlands, TX, United States Houston Methodist The Woodlands Hospital Full timeAt Houston Methodist, the Senior (Sr.) Communications Specialist position is responsible for developing proactive hospital and executive communications, leading engaging internal communications strategies and executing external reactive and proactive communications and media relations by effectively cultivating and nurturing media relationships. The Senior...
-
Senior Commissioning Specialist
1 week ago
The Woodlands, United States Insight Global Full timeCompany Overview: Insight Global is seeking a highly skilled Lead Commissioning Engineer to enhance our Commissioning Engineering team.Position Overview: This role is designed for an experienced professional with a strong background in commissioning within the Oil & Gas sector. The successful candidate will be engaged in a long-term contract role with a...
-
Senior Care Coordination Specialist
1 week ago
The Dalles, Oregon, United States Adventist Health Full timePosition Overview At Adventist Health, we pride ourselves on providing exceptional healthcare services to our community. As a Senior Care Coordination Specialist, you will play a vital role in ensuring that our patients receive the highest level of support throughout their healthcare journey. Key Responsibilities: As a Senior Care Coordination Specialist,...
-
Client Relations Insurance Specialist
1 week ago
The Woodlands, United States The Torres Agency - Farmers Insurance Full timeJob OverviewWe are in search of a driven insurance sales consultant who possesses an entrepreneurial mindset to identify and convert potential leads into insurance policy sales while managing a diverse client portfolio. The ideal candidate will have experience in a similar insurance role, where they successfully built a network of prospective clients through...
-
Construction Project Coordinator
1 week ago
The Woodlands, United States TPI Staffing, Inc Full timeJob OverviewPosition: Project Manager - Roofing/ConstructionEmployment Type: Direct HireCompensation: $50K - $65K annuallyWork Environment: In-OfficeThe Project Manager will oversee the pre-construction, construction, and project closeout phases for our commercial roofing initiatives. This role is pivotal in ensuring that the organization achieves its...
Senior Claims Specialist
2 months ago
Our client is located in The Woodlands, employee base of 3000, offices across the US, and it is the oil and gas industry. This role will work in a team of 4 and will require having a solid ability to create relationships with divisions.
*Salary is based on experience.
Working within the claims team, responsible for analyzing and processing Workers’ Compensation, General Liability and Automobile Claims, characterized as moderately complex to complex within assigned authority limits. This includes assisting the insurance company adjuster on decisions about liability/compensability, evaluating losses, negotiating settlements, and managing an inventory of commercial property/casualty claims involving bodily injury or property loss.
Position Description
Essential Duties and Responsibilities include, but are not limited to the following:
- Assists in the day-to-day processing of Workers’ Compensation, Automobile Claims and General Liability claims, including obtaining, checking, recording, and evaluating employee and third-party information related to these claims.
- Evaluates and processes claim handling invoices from insurers.
- Addresses questions about Workers’ Compensation programs, and informs employees of their rights and benefits under various state workers’ compensation laws.
- Acts as a liaison between the business unit and the worker’s compensation insurer on return-to-work programs.
- Compiles and analyzes claims data and recommends lessons learned and claims process improvements.
- Enters claims data in internal databases and runs claims reports from the databases.
- Gathers information/data on accident causes, reports on hazardous or dangerous conditions/actions on company property/worksites, and coordinates with Safety and/or the Company’s insurance adjusters.
- As it relates to Workers’ Compensation claims, assists in maintaining ongoing oversight of third-party providers that includes, but is not limited to, requesting investigation activities to verify suspicious claims, questioning and resolving discrepancies, monitoring of medical treatment, including rehabilitation, and reviewing case reserves for adequacy.
- Works with the claims adjuster and/or defense counsel in identifying and interviewing witnesses. Works with the claims adjuster and/or defense counsel in the gathering and production of documents, and other information related to the claims.
- Provides general assistance and works with internal and external counsel, and the insurance adjuster in the defense of a claim.
- Works in a corporate office environment. Provides professional and prompt customer service to co-workers, insurance company personnel, and the general public.
- May assist in restitution/subrogation activities when company property is damaged by 3rd parties.
- Performs related duties as assigned.
Position Requirements
Qualifications
This is an in-office cubicle position with office hours generally from 8 AM to 5 PM Central Time, Monday-Friday. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
General Knowledge of —
- Various state labor code provisions pertaining to workers’ compensation rules, regulations, and appeals.
- the ability to intake, report, and manage claims in worker’s comp and also auto and general liability.
- Civil litigation and discovery procedures
- Medical and legal terminology related to bodily injury claims
Ability to —
- Analyze, interpret, and apply laws, rules, and regulations pertaining to workers’ compensation, occupational health and safety, automobile insurance, and general liability insurance.
- Analyze individual claims and use judgment and diplomacy in recommending or exercising appropriate action.
- Write clear, comprehensive, and accurate reports and correspondences.
- Interpret statistics and make accurate arithmetical computations
- Work effectively and professionally with corporate, business unit, insurance carrier adjusters, and the public
- Effectively communicate orally and in writing.
Education —
Two years of college, preferably supplemented by courses in workers’ compensation, general business, insurance, or state-issued adjuster licenses. Worker’s compensation certifications are a plus
Experience —
Two to five years or more of experience as a workers' compensation claims processor/adjuster, which must include at least one year of experience regarding state workers’ compensation claims covered by any one or more of the following state laws: Arizona, Colorado, Florida, Georgia, Hawaii, Idaho, Nevada, Texas, or Utah.
Great Benefits
- Medical and prescription drug plans
- Dental and Vision insurance benefits
- Life/AD&D insurance benefits
- Health Care and Dependent Care Flex Spending accounts
- Health Savings Account
- Disability income protection
- Paid time off (vacation and holidays)
- 401(k) retirement savings plan
- Relocation assistance available
