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		<title>Claims Examiner Jobs  in  USA TEXAS</title>
		<link>http://www.jobvolume.com/rss/jobs-q-claims+examiner-p-texas.xml</link>
		<description>Claims Examiner Jobs  in  USA TEXAS</description>
		<language>en-us</language>
		<copyright>Copyright (c) 2006 Jobvolume All rights reserved.</copyright>
		<lastBuildDate>Tue, 2 Dec 2008 22:32:18 GMT</lastBuildDate>

        
                  <item>
                        <title><![CDATA[Claims Specialist at Humana  , (USA-TX-Fort Worth)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=2307606389</link>
                        <guid isPermaLink="false">2307606389</guid>
                        <pubDate>Sun, 30 Nov 2008 12:22:55 GMT</pubDate>
                        <description><![CDATA[LifeSynch, a Humana owned company, has an exciting opportunity for a Claims Specialist located near the beautiful downtown Fort Worth area. LifeSynch has a great work environment with free parking and business casual dress. 
Are you a fit? 
Do you enjoy providing exceptional customer service? Would you like to interact with Humana&apos;s customers to help diagnose and resolve their problems and concerns? 
In this highly visible role as a Claims Specialist, we look to your experience, enthusiasm, and unrelenting customer focus to help us achieve high levels of customer service excellence as you educate and problem solve for our members, providers, and employers regarding insurance-related health care issues. The Claims Specialist will place
outbound phone calls to members or providers to get required information for processing and investigate claims for required processing information. 
Key Competencies 
Build Trust: You honor your word by doing what you say you are going to do. 
Champions the Customer: You keep closely attuned to the needs and perspectives of customers and use this insight for the benefit of the business. 
Drives for excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition. 
Is Accountable: You meet clearly stated expectations and take responsibility for achieving results. 
Role Essentials 
High School Diploma 
CPT, ICD-9, and Revenue coding experience 
Minimum 2 years Medical processing experience 
Commitment to preserving confidentiality 
Role Desirables 
College degree or some college coursework preferred 
Two years experience as a claims examiner 
Knowledge of claims payment laws 
Previous inbound call center or related customer service experience 
Fluency in Spanish
]]></description>
                  </item>
                
                  <item>
                        <title><![CDATA[Claims Specialist at Company Confidential, (USA-TX-Fort Worth)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=2951988403</link>
                        <guid isPermaLink="false">2951988403</guid>
                        <pubDate>Sat, 29 Nov 2008 07:56:09 GMT</pubDate>
                        <description><![CDATA[Claims Specialist Company: Company Confidential
Location: Fort Worth
Posted on: November 27, 2008
Job Description:
LifeSynch, a Humana owned company, has an exciting opportunity for a Claims Specialist located near the beautiful downtown Fort Worth area. LifeSynch has a great work environment with free parking and business casual dress. Are you a fit? Do you enjoy providing exceptional customer service? Would you like to interact with Humana&apos;s customers to help diagnose and resolve their problems and concerns? In this highly visible role as a Claims Specialist, we look to your experience, enthusiasm, and unrelenting customer focus to help us achieve high levels of customer service excellence as you educate and problem solve for our members, providers, and employers regarding insurance-related health care issues. The Claims Specialist will place outbound phone calls to members or providers to get required information for processing and investigate claims for required processing information. Key Competencies Build Trust: You honor your word by doing what you say you are going to do. Champions the Customer: You keep closely attuned to the needs and perspectives of customers and use this insight for the benefit of the business. Drives for excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition. Is Accountable: You meet clearly stated expectations and take responsibility for achieving results. Role Essentials High School Diploma CPT, ICD-9, and Revenue coding experience Minimum 2 years Medical processing experience Commitment to preserving confidentiality Role Desirables College degree or some college coursework preferred Two years experience as a claims examiner Knowledge of claims payment laws Previous inbound call center or related customer service experience Fluency in Spanish Keywords: Company Confidential, Dallas, Claims Specialist, Health Care, Fort Worth, Texas
Let Fort Worth recruiters find you - Post your resume for free!
Click here to receive new Fort Worth Health Care jobs via email
View all Dallas Health Care jobs
]]></description>
                  </item>
                
                  <item>
                        <title><![CDATA[Claims Specialist at Humana, (USA-TX-Fort Worth)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=2863149255</link>
                        <guid isPermaLink="false">2863149255</guid>
                        <pubDate>Wed, 26 Nov 2008 06:48:08 GMT</pubDate>
                        <description><![CDATA[Claims Specialist Company: Humana
Location: Fort Worth
Posted on: November 25, 2008
Job Description:
LifeSynch, a Humana owned company, has an exciting opportunity for a Claims Specialist located near the beautiful downtown Fort Worth area. LifeSynch has a great work environment with free parking and business casual dress. 
Are you a fit? 
Do you enjoy providing exceptional customer service? Would you like to interact with Humana&apos;s customers to help diagnose and resolve their problems and concerns? 
In this highly visible role as a Claims Specialist, we look to your experience, enthusiasm, and unrelenting customer focus to help us achieve high levels of customer service excellence as you educate and problem solve for our members, providers, and employers regarding insurance-related health care issues. The Claims Specialist will place
outbound phone calls to members or providers to get required information for processing and investigate claims for required processing information. 
Key Competencies 
Build Trust: You honor your word by doing what you say you are going to do. 
Champions the Customer: You keep closely attuned to the needs and perspectives of customers and use this insight for the benefit of the business. 
Drives for excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition. 
Is Accountable: You meet clearly stated expectations and take responsibility for achieving results. 
Role Essentials 
High School Diploma 
CPT, ICD-9, and Revenue coding experience 
Minimum 2 years Medical processing experience 
Commitment to preserving confidentiality 
Role Desirables 
College degree or some college coursework preferred 
Two years experience as a claims examiner 
Knowledge of claims payment laws 
Previous inbound call center or related customer service experience 
Fluency in Spanish Keywords: Humana, Dallas, Claims Specialist, Finance, Fort Worth, Texas
Let Fort Worth recruiters find you - Post your resume for free!
Click here to receive new Fort Worth Finance jobs via email
View all Dallas Finance jobs
]]></description>
                  </item>
                
                  <item>
                        <title><![CDATA[Claims Examiner II/III at Dept. of Assistive  Rehabilitative Services, (USA-TX-Austin)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=3598393946</link>
                        <guid isPermaLink="false">3598393946</guid>
                        <pubDate>Sun, 23 Nov 2008 21:31:42 GMT</pubDate>
                        <description><![CDATA[Claims Examiner II III job in Austin  TX  United States  Other careers   Yahoo HotJobs CanadaYahoo! SearchSearch  New User? â¢ â¢ â¢ Advantages of  Apply Now   Apply Now  provides you with a fast and easy way to apply to a job and has many benefits over other methods of applying including  Apply to multiple jobs quickly and easily  If you ve used the  Apply Now  process before  we ve already saved your information  Just select and preview your resume and optional cover letter and submit  Receive confirmation of submission  With your information automatically sent and saved in our system  we ll make sure your resume gets in the recruiter s HotJobs account and we ll send you a confirmation email  Stay organized in your job search  You can centrally manage your resume activity history online anytime  Keep track of the date  company and position you applied for  and the resume and cover letter you sent        Claims Examiner II IIIClaims Examiner II III  Dept  of Assistive  Rehabilitative ServicesJob ID3779189_1Company NameDept  of Assistive  Rehabilitative ServicesJob CategoryOtherLocationAustin  TX  United StatesPosition TypeFull Time  EmployeeExperience0 1 Years ExperienceDate PostedNovember 23  2008CLAIMS EXAMINER II III Department of Assistive   Rehabilitative Services  DDS  Austin  Texas Entry level beginning at $2885 Mo With career progression Opportunities 15 Openings Posting #108702 Claims Examiners  CE  research  develop and analyze complex medical vocational and technical information in order to render disability determination decisions for the Social Security Administration  CEs attend an initial training program during the first 12 weeks of employment  Applicants are encouraged to obtain a copy of the CE job description before applying so that the knowledge  skills and abilities  KSAs  can be addressed in the State of Texas application  Applications will be screened for evidence of KSAs and work related experience to identify applicants for interview  REQUIREMENTS  Bachelor s Degree from an accredited college or university  A written statement certifying completion of all classroom course work toward the degree and indicating the applicant is in good standing toward graduation will meet the requirement  EXCELLENT BENEFITS to include health dental insurance  vacation sick leave  longevity pay  state retirement  401K 457 plans  flexible work hours  free parking  and on site cafeteria  DARS will conduct a criminal history background check of applicants in accordance with applicable statutes  NOTE  All positions located in Austin  Texas to be effective January 1  2009  To apply for this position please complete the online State of Texas Application for Employment at https    hhsjobs hhsc state tx us or print it  then fax or mail to the following  Fax Number  1 866 245 3646 Mailing Address  accessHR  P  O  Box 6629  Round Rock  Texas 78683 6629  Attention  Recruiting DepartmentYahoo! HotJobsâ¢ â¢ â¢ â¢ â¢ â¢ â¢ â¢ Also on Yahoo!â¢ â¢ â¢ â¢ â¢ â¢ Â»Other Resourcesâ¢ â¢ Find a   post your   research at featured companies  compare and get on Yahoo! HotJobs  Start your now on Yahoo! HotJobs   thousands of listed daily  Top keyword searches â¢ â¢ â¢ â¢ â¢ â¢ â¢ â¢ â¢ Copyright Â© 2008 Yahoo! Canada Co  All rights reserved     Updated    NOTICE  We collect personal information on this site  To learn more about how we use your information  see our      ]]></description>
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                  <item>
                        <title><![CDATA[Examiner, Senior Claims - CFHP at Univ. Health System, (USA-TX-San Antonio)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=2593908441</link>
                        <guid isPermaLink="false">2593908441</guid>
                        <pubDate>Fri, 21 Nov 2008 15:49:58 GMT</pubDate>
                        <description><![CDATA[Examiner  Senior Claims   CFHP job in San Antonio  TX  Insurance and Healthcare careers   Yahoo HotJobsYahoo! SearchSearch  New User? â¢ â¢ â¢ Advantages of  Apply Now   Apply Now  provides you with a fast and easy way to apply to a job and has many benefits over other methods of applying including  Apply to multiple jobs quickly and easily  If you ve used the  Apply Now  process before  we ve already saved your information  Just select and preview your resume and optional cover letter and submit  Receive confirmation of submission  With your information automatically sent and saved in our system  we ll make sure your resume gets in the recruiter s HotJobs account and we ll send you a confirmation email  Stay organized in your job search  You can centrally manage your resume activity history online anytime  Keep track of the date  company and position you applied for  and the resume and cover letter you sent        Examiner  Senior Claims   CFHPExaminer  Senior Claims   CFHP  Univ  Health SystemJob ID 9Company NameUniv  Health SystemJob CategoryInsurance  HealthcareLocationSan Antonio  TXPosition TypeFull Time  EmployeeExperienceUnspecifiedDate PostedNovember 21  2008University Health System s Human Resources department welcomes you to the world of opportunity that awaits you Come be a part of a healthy  growing organization of talented people who are dedicated to improving the health and well being of the citizens of Bexar County  South Texas  and beyond Working with great people who are serving a great mission is the number one benefit of University Health System employment Wherever you work at University Health System  you re part of an extraordinary team Examiner  Senior Claims   CFHPPOSITION SUMMARY RESPONSIBILITIES Performs review  analysis  and adjudication of all claim types including coordination of benefits and DME claims  Performs analysis of provider appeals and documents outcome determination via correspondence  Acts as a provider liaison for claim issue resolution by utilization of appropriate corporate functionalities  EDUCATION EXPERIENCE High school diploma or GED equivalent required  Five years HMO  PPO  ASO claim processing experience is required  Thorough knowledge of medical terminology  ICD 9 CPT4 Coding  and general managed care principles is required Yahoo! HotJobsâ¢ â¢ â¢ â¢ â¢ â¢ â¢ â¢ Also on Yahoo!â¢ â¢ â¢ â¢ â¢ â¢ Â»Other Resourcesâ¢ â¢ â¢ Find a   post your   research at featured companies  compare and get on Yahoo! HotJobs  Start your now on Yahoo! HotJobs   thousands of listed daily  Top keyword searches â¢ â¢ â¢ â¢ â¢ â¢ â¢ â¢ â¢ Top cities â¢ â¢ â¢ â¢ â¢ â¢ â¢ â¢ â¢ Copyright Â© 2008 Yahoo! Inc  All rights reserved      NOTICE  We collect personal information on this site  To learn more about how we use your information  see our      ]]></description>
                  </item>
                
                  <item>
                        <title><![CDATA[Field Property Claims Examiner - Texarkana, Texas at Safeco Insurance, (USA-TX-Texarkana)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=3782921907</link>
                        <guid isPermaLink="false">3782921907</guid>
                        <pubDate>Mon, 17 Nov 2008 13:37:39 GMT</pubDate>
                        <description><![CDATA[Field Property Claims Examiner   Texarkana  Texas job in Texarkana  TX  Real Estate and Insurance careers   Yahoo HotJobsYahoo! SearchSearch  New User? â¢ â¢ â¢ Advantages of  Apply Now   Apply Now  provides you with a fast and easy way to apply to a job and has many benefits over other methods of applying including  Apply to multiple jobs quickly and easily  If you ve used the  Apply Now  process before  we ve already saved your information  Just select and preview your resume and optional cover letter and submit  Receive confirmation of submission  With your information automatically sent and saved in our system  we ll make sure your resume gets in the recruiter s HotJobs account and we ll send you a confirmation email  Stay organized in your job search  You can centrally manage your resume activity history online anytime  Keep track of the date  company and position you applied for  and the resume and cover letter you sent        Field Property Claims Examiner   Texarkana  TexasField Property Claims Examiner   Texarkana  Texas  Safeco InsuranceJob ID4084Company NameSafeco InsuranceJob CategoryReal Estate  InsuranceLocationTexarkana  TXPosition TypeFull Time  EmployeeExperienceUnspecifiedDate PostedOctober 29  2008  Reposted Nov 13 Safeco Insurance is part of the Agency Markets business unit of the Liberty Mutual Group  Safeco is committed to providing a range of superior property and casualty products to customers across the United States through a network of independent agents  Safeco is proud to support the communities that we live and work in and values a diverse work force  Boston based Liberty Mutual Group is a diversified global insurer and sixth largest property and casualty insurer in the U S  based on 2007 direct written premium  The Company also ranks 94th on the Fortune 500 list of largest corporations in the U S  based on 2007 revenue  As of December 31  2007  Liberty Mutual Group had $94 7 billion in consolidated assets  $82 3 billion in consolidated liabilities  and $25 9 billion in annual consolidated revenue  Liberty Mutual Group today employs over 41 000 people in more than 900 offices throughout the world Safeco Insurance  headquartered in Seattle   WA is an industry leader in Property and Casualty products and is a Fortune 500 company traded on the NYSE  SAF   We have over 7 000 employees nationwide commitment to providing outstanding service to our customers and community  and we value a diverse workforce  Field Property Claims Examiner   Texarkana  TexasDescription  Safeco Insurance is part of the Agency Markets business unit of the Liberty Mutual Group  Safeco is committed to providing a range of superior property and casualty products to customers across the United States through a network of independent agents  Safeco is proud to support the communities that we live and work in and values a diverse work force  Boston based Liberty Mutual Group is a diversified global insurer and sixth largest property and casualty insurer in the U S  based on 2007 direct written premium  The Company also ranks 94th on the Fortune 500 list of largest corporations in the U S  based on 2007 revenue  As of December 31  2007  Liberty Mutual Group had $94 7 billion in consolidated assets  $82 3 billion in consolidated liabilities  and $25 9 billion in annual consolidated revenue  Liberty Mutual Group today employs over 41 000 people in more than 900 offices throughout the world We are looking for a highly accomplished individual to join our Personal Lines Property Field Claims Team  This position demands a professional with a successful track record  who is goal oriented  results driven  and can work well independently! As a Field Property Claims Examiner  you will  â¢ Assess policy coverageâ¢ Analyze  investigate and adjust moderately complex personal lines homeowner claims within assigned authority limits â¢ Use your strong verbal communication skills to educate our insured  and work with independent adjustors  contractors  or cause and origin experts â¢ Use your strong written and computer skills to assess property damages by properly scoping and estimating utilizing Xactimate software applications  including Sketch  â¢ Determine and document subrogation potential  â¢ Evaluate claims for potential fraud and work with the SIU Unit as appropriateâ¢ Participate in catastrophe duty as neededAre you experienced in handling property claims? If you are ready to let your excellent interpersonal and customer service skills move you forward in a great career  then we would like to speak with you! Qualifications  â¢ Knowledge of insurance coverage and prior work experience in construction or handling homeowner s claims  scoping losses and completing estimates  is preferred  â¢ Bachelors degree preferred  continuing insurance education desired  â¢ Excellent verbal and written communication skillsâ¢ Superior customer service skills  â¢ Working experience with personal computers  including intermediate proficiency in MS Office and strong typing skills  â¢ Experience with Xactimate estimating software or similar software is highly preferred  â¢ Detail oriented  organized  able to work independently with minimal supervision  and the ability to work in a fast paced multiple priority environment  â¢ Strong negotiation and conflict resolution skills  â¢ Hold a clean driving record to operate a company vehicle  â¢ Physical requirements  Must be able to stoop  bend  crouch and climb  including climbing on roofs  to ensure full damage assessment on site  This is a telecommuter position where you will work from home and be provided with a company car  The territory includes Texarkana  TX  Paris  TX  Shreveport  LA  Southwest Arkansas  You must reside within this territory or be able to relocate to this area  If you are an individual who can work independently and has the skills as stated to be a successful Field Property Claims Examiner apply now!We recognize that talented people are attracted to companies that provide competitive pay  comprehensive benefits  and outstanding advancement opportunities  Our comprehensive benefits plan include    Medical  dental  and vision coverage   Discounts on auto and homeowner s insurance   Tuition reimbursement   Company car   Work from home   401K and Company paid pension plan Yahoo! HotJobsâ¢ â¢ â¢ â¢ â¢ â¢ â¢ â¢ Also on Yahoo!â¢ â¢ â¢ â¢ â¢ â¢ Â»Other Resourcesâ¢ â¢ â¢ Find a   post your   research at featured companies  compare and get on Yahoo! HotJobs  Start your now on Yahoo! HotJobs   thousands of listed daily  Top keyword searches â¢ â¢ â¢ â¢ â¢ â¢ â¢ â¢ â¢ Top cities â¢ â¢ â¢ â¢ â¢ â¢ â¢ â¢ â¢ Copyright Â© 2008 Yahoo! Inc  All rights reserved      NOTICE  We collect personal information on this site  To learn more about how we use your information  see our      ]]></description>
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                        <title><![CDATA[Claim Examiner - 14 at ACS, (USA-TX-Dallas)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=2480702791</link>
                        <guid isPermaLink="false">2480702791</guid>
                        <pubDate>Sun, 16 Nov 2008 10:47:26 GMT</pubDate>
                        <description><![CDATA[Job Hot Line Job DetailsDate Jun 12 Req Number CSG  HCMS  HR Solutions HRO GHRS 71730 Location Kuala Lumpur Job Title Claim Examiner   14 Description Description This position will handle level 1 and 2 medical claim adjudication for ACS clients  Responsibilities include adjudication of medical and dental claims according to Plan provisions utilizing the ClaimFacts processing system Skills Required Follow written directions and general instructions on routine work General familiarity of office equipment  P C  Skills to include 10 key  basic typing  keyboard understanding  basic email  basic windows environment  ICD 9  ADA  CPT  HCPCS Coding  Use of book and understanding of classifications and main modifiers  Basic understanding of workflow and roles  Working knowledge of Health and Welfare Plans  Ability to multi task with good organizational skills  Time management with organization of resources and tools  Reading Writing Math Skills to include spelling  basic reading  comprehension  interpretation  basic percentage calculations  addition  subtraction and recognition of inaccurate claim payment  Ability to work on assignments that are routine basic repetitive in nature to include but not limited to basic claims  clean desk  microfilm  update manual etc  Basic Problem solving resolution skills utilizing manuals and resources to obtain answers  Problem solving   Identify Symptoms  Meeting Quality goals thoroughness and attention to detail  Procedural based decision making  Able to follow escalation process  Ability to learn various team functions  Must be able to respond to changes in work environment and workflow management  Work well with others environment  Meet all quality and production goals  Preferred Qualifications Experience in both medical and dental industry  such as a physician s office    Ability to work with minimal direct supervision  Previous claim processing experience is an added advantage Education and Typical Years of Experience Candidate must possess at least a SPM  O  Level Certificate in any field  plus 3 5 years of health and welfare claim processing experience  S U B M I T If you have previously submitted your resume input your login and password and click submit Login  Password  If you are submitting yourself for the first time   ACS is an Equal Employment Opportunity Affirmative Action Employer and does not discriminate against any applicant on the basis of race  color  religion  national origin  age  gender  marital status  disability  sexual orientation  military veteran status  or any other status protected by Federal or State law or local ordinance  This site has been optimized for versions 4 0+ of Copyright   All Rights Reserved ]]></description>
                  </item>
                
                  <item>
                        <title><![CDATA[Claim Examiner - 7 at ACS, (USA-TX-Dallas)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=2252660733</link>
                        <guid isPermaLink="false">2252660733</guid>
                        <pubDate>Sun, 16 Nov 2008 10:29:26 GMT</pubDate>
                        <description><![CDATA[Job Hot Line Job DetailsDate Jun 12 Req Number CSG  HCMS  HR Solutions HRO GHRS 71723 Location Kuala Lumpur Job Title Claim Examiner   7 Description Description This position will handle level 1 and 2 medical claim adjudication for ACS clients  Responsibilities include adjudication of medical and dental claims according to Plan provisions utilizing the ClaimFacts processing system Skills Required Follow written directions and general instructions on routine work General familiarity of office equipment  P C  Skills to include 10 key  basic typing  keyboard understanding  basic email  basic windows environment  ICD 9  ADA  CPT  HCPCS Coding  Use of book and understanding of classifications and main modifiers  Basic understanding of workflow and roles  Working knowledge of Health and Welfare Plans  Ability to multi task with good organizational skills  Time management with organization of resources and tools  Reading Writing Math Skills to include spelling  basic reading  comprehension  interpretation  basic percentage calculations  addition  subtraction and recognition of inaccurate claim payment  Ability to work on assignments that are routine basic repetitive in nature to include but not limited to basic claims  clean desk  microfilm  update manual etc  Basic Problem solving resolution skills utilizing manuals and resources to obtain answers  Problem solving   Identify Symptoms  Meeting Quality goals thoroughness and attention to detail  Procedural based decision making  Able to follow escalation process  Ability to learn various team functions  Must be able to respond to changes in work environment and workflow management  Work well with others environment  Meet all quality and production goals  Preferred Qualifications Experience in both medical and dental industry  such as a physician s office    Ability to work with minimal direct supervision  Previous claim processing experience is an added advantage Education and Typical Years of Experience Candidate must possess at least a SPM  O  Level Certificate in any field  plus 3 5 years of health and welfare claim processing experience  S U B M I T If you have previously submitted your resume input your login and password and click submit Login  Password  If you are submitting yourself for the first time   ACS is an Equal Employment Opportunity Affirmative Action Employer and does not discriminate against any applicant on the basis of race  color  religion  national origin  age  gender  marital status  disability  sexual orientation  military veteran status  or any other status protected by Federal or State law or local ordinance  This site has been optimized for versions 4 0+ of Copyright   All Rights Reserved ]]></description>
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