Hibbs-Hallmark & Company, Inc. - Tyler, TX
Job Title
Commercial Lines Account Administrator
Job Summary
To assist in the sales and handle all of the servicing of Commercial Lines accounts. The Account Administrator will also be responsible for coordinating the renewal process, account development and retention of existing customers.
Qualifications
Qualified candidates must possess a high school diploma or college degree and hold a current P&C license. Must be proficient in MS Word & Excel. A minimum of one of the following designations is desired: CIC, ARM, AAI, CPCU, AU, ASCR, or CISR and at least 1 year experience in Commercial Lines.
To apply and see more detailed information about this position, click on the following link
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Contract Claims Services, Inc. - Irving, TX
Job Title
Medical Cost Containment Manager
Job Summary
Overall management of in-house medical bill review functions including monitoring vendor performance to ensure cost effectiveness, accuracy in billing and proper correlation between diagnosis and treatment, negotiating fees with providers where applicable to achieve maximum cost effectiveness for the client. Oversight of Medical Claim Manager to ensure adequate and appropriate medical review to include medical aspects of claims as presented by adjusters, supervisors, managers, or a client. Prepare and implement training programs relative to cost containment, language, and direction to claims in-house staff and clients. Represent our company and the client in hearings as required.
Qualifications
Previous staff management experience a must. Current RN license with a minimum of three years of relevant nursing and/or medical case management experience required. Experience in Utilization and Medical Bill Review.
To apply and see more detailed information about this position, click on the following link at https://home.eease.adp.com/recruit/?id=1214791
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Contract Claims Services, Inc. - Irving, TX
Job Title
Quality Assurance Manager
Job Summary
The Quality Assurance Manager is responsible for budgets and allocating resources for a quality assurance division. The Quality Assurance Manager provides procedural guidance to various processes within the organization concerning quality control and testing.
Qualifications
A Quality Assurance Manager must have knowledge of trends and innovations in the area of quality control management. Good oral and written communication skills are needed to communicate with senior management, other departments or branches, and for writing quality control procedures. The quality control manager must also have knowledge in general computer applications. A bachelor's or master's degree in business or management meets the desired educational requirements to be considered. Degree requirements may be waived in lieu significant job experience. A background in both federal and Texas workers’ compensation claims is preferred.
To apply and see more detailed information about this position, click on the following link at https://home.eease.adp.com/recruit/?id=1385861
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Contract Claims Services, Inc. - Irving, TX
Job Title
Funding Analyst
Job Summary
The Funding Analyst is responsible for the clerical duties of the Financial Services department. The Funding Analyst will match bills, check and EOB’s for daily check print. Stuff checks and EOB’s in envelopes and prepare for daily mailing. Responsible for entering refunds, recoveries, voids, stop payments and stale date information into the claims package. Accomplish all bank reconciliations and bank recording error resolutions. Create department files for new participants. he Funding Analyst is responsible for the clerical duties of the Financial Services department. The Funding Analyst will match bills, check and EOB’s for daily check print. Stuff checks and EOB’s in envelopes and prepare for daily mailing. Responsible for entering refunds, recoveries, voids, stop payments and stale date information into the claims package. Accomplish all bank reconciliations and bank recording error resolutions. Create department files for new participants.
Qualifications
Minimum high school diploma or GED required. Advanced training or higher education preferred experience in the banking industry. Minimum of 2 years of office experience. Ability to handle extensive daily telephone contact. Good communication and language skills. Aptitude for working with basic office equipment. Basic computer skills and use of Excel and Word.
To apply and see more detailed information about this position, click on the following link to apply at
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Claims Administrative Services, Inc. - Tyler, TX
Job Title
Medical Bill Review Auditor
Job Summary
The Bill Review Auditor will process Workers Compensation medical bills. The duties required include claims processing, data entry, re-pricing, and checking eligibility for payment. Other duties may be assigned. An Auditor must also be able to meet or exceed a production goal, which is set based on experience.
Qualifications
Qualified candidates will have at least 3 years experience in medical claims processing, a high school diploma or equivalent. A college degree or some college preferred. Other requirements include a strong knowledge and understanding of ICD-9 and CPT coding, a strong attention to detail, a high degree of accuracy, ability to work within and meet timed deadlines.
To apply and see more detailed information about this position, click on the following link to apply at
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Claims Administrative Services, Inc. - Tyler, TX
Job Title
Technical Assistant
Job Summary
To assist the adjusters in claims handling in order to allow the adjusters to spend more time in claims investigation. Provide assistance to claimants, clients, medical providers and the adjusters in claims handling. Communicate effectively with claimants, clients and medical providers.
Qualifications
Qualified candidates must possess a high school diploma or equivalency, some college course work preferred and at least 3 years office experience. Bilingual skills strongly desired. Previous experience in workers' compensation claims preferred but not required. Strong attention to detail, ability to multi-task and meet timed deadlines.
To apply and see more detailed information about this position, click on the following link to apply at https://home.eease.adp.com/recruit/?id=1479591
CAREER OPPORTUNITIES
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Heartland Security Insurance Group is an equal opportunity employer.
