- Support state Medicaid recovery efforts while following state law to ensure timely case management
- Do the research on assets and probate, file court claims, work with stakeholders on case management, resolve outstanding issues and collect payment
- Connect directly with attorneys and family members via phone or email regarding case status and when more information is needed to process a claim
- Evaluate case information to validate asset information and probate case status
- Advance cases to recovery by preparing the required correspondence, liens, claims and other related documents
- Determine the payment amount and obtain the approval needed to disburse payments
- Escalate contested cases to leadership as appropriate
- Probate, legal document and/or asset research/investigation work experience preferred
- Knowledge of basic principles of case management with basic exposure to probate, LexisNexis, legal documents and Medicaid preferred
- Basic investigative and problem-solving skills to evaluate cases and determine actions required
- Strong written and oral communication skills to interact with external attorneys, family members and courts
- Ability to pay close attention to detail and legal deadlines to ensure quality and timeliness of case management
- Onsite Irving Texas
- #LI-NA1
-
Medical Claims Examiner
Found in: Talent US C2 - 4 days ago
CSI Irving, United States Contract-to-HireThe CSI Companies is actively seeking a Medical Claims Examiner for a fast-growing, international hospital system in the Irving, TX area that Forbes recently rated among the best employers in Texas · Job Summary$18-21/hour Depending on Experience · ON-SITE, Monday-Friday 8am–5pm ...
-
Claims Examiner
Found in: Lensa US 4 C2 - 3 days ago
Philadelphia Insurance Companies Plano, United StatesMarketing Statement · Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally r ...
-
Claim Examiner- Remote
Found in: ZipRecruiter Priority US C2 - 1 day ago
Select Source International Dallas, United StatesJob Description · Job DescriptionJob Description · Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio. · Adjust reserves or provide reserve recomme ...
-
Aviation Claims Examiner
Found in: Lensa US 4 C2 - 4 days ago
Tokio Marine HCC Plano, United States· Position at Tokio Marine HCC · USSIC has an exciting opportunity for an experienced Aviation Claims Examiner in our office located in Plano, Texas. · In your role as the Aviation Claims Examiner, you will be responsible for efficient claims processing, accurate payments and ...
-
Commercial Auto and General Liability Claims Examiner II
Found in: Lensa US 4 C2 - 4 days ago
Tristar Insurance Services LLC Irving, United StatesJob Details · Level · Experienced · Job Location · Dallas - Irving, TX · Remote Type · Fully Remote · Position Type · Full Time · Education Level · High School Diploma or GED · Salary Range · $63, $74,000.00 Salary/year · Travel Percentage · None · Job Shift · Day ...
-
Workers Comp Claims Examiner
Found in: Lensa US 4 C2 - 1 day ago
Managed Care Staffers Dallas, United StatesWorkers Comp Claims Examiner - Remote WorkOur client, a large claims administrator, is looking for a Workers Comp. Claims Examiner to work remotely. This position will be working to support the Anchorage, AK office. Position is open to W-2 candidates only. Candidates MUST live in ...
-
Workers Compensation Claims Examiner
Found in: ZipRecruiter Priority US C2 - 1 day ago
Managed Care Staffers Dallas, United StatesJob Description · Job DescriptionWorkers Comp Claims Examiner - Remote Work · Our client, a large claims administrator, is looking for a Workers Comp. Claims Examiner to work remotely. This position will be working to support the Anchorage, AK office. · Position is open to W-2 ca ...
-
Senior Workers Compensation Claims Examiner
Found in: Lensa US 4 C2 - 2 days ago
AIG Dallas, United StatesAt AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. · Join us as a Senior WC ...
-
Medical Claims Examiner- Trainer
Found in: Appcast US C2 - 6 days ago
ERISA Recovery Plano, United States**ONSITE POSITION** · ERISA Recovery, a frontrunner in the Federal ERISA appeals process for collecting complex and aged claims, seeks a proactive Denied Claims Trainer who specializes in overturning denied claims. You will develop, implement, and facilitate a claims training pro ...
-
Medical Claims Examiner- Trainer
Found in: Lensa US 4 C2 - 2 days ago
ERISA Recovery Plano, United StatesONSITE POSITION · ERISA Recovery, a frontrunner in the Federal ERISA appeals process for collecting complex and aged claims, seeks a proactive Denied Claims Trainer who specializes in overturning denied claims. You will develop, implement, and facilitate a claims training progra ...
-
Complex Claims Specialist
Found in: Lensa US 4 C2 - 6 days ago
Berkley Irving, United StatesCompany Details: · Carolina Casualty is a member company of W. R. Berkley Corporation, an insurance holding company that is among the largest commercial lines insurance writers in the United States. We specialize in liability, physical damage, cargo and other insurance solutions ...
-
Workers Compensation Claims Analyst
Found in: ZipRecruiter Test10S US C2 - 1 day ago
Darling Ingredients Inc. Irving, United StatesJob Description · Job DescriptionJob Summary · Position will report directly to the Claims Manager and will assist in the administration of the company's claims program to include the reporting, processing of claims as well as coordination with TPA on open active claims as needed ...
-
deputy constable i.9010000
Found in: Talent US 2 C2 - 1 day ago
Dallas County Grand Prairie, United StatesBrief Description · Performs licensed peace officer tasks in accordance with State and local laws and the policies and procedures of the Constable's Office and performs bailiff tasks for the Justice of the Peace.Detailed DescriptionDelivers and executes civil papers to include c ...
-
Talent Acquisition Specialist
Found in: Lensa US 4 C2 - 6 days ago
RYZE Claim Solutions Dallas, United StatesJob Description · Job Description · Overview · We are looking for a Claims Talent Acquisition Specialist with full-cycle recruiting experience, from talent sourcing and attracting candidates to interviewing and hiring great employees. Our organization is looking to hire adjuste ...
-
Regional General Adjuster
Found in: Lensa US 4 C2 - 21 hours ago
Crawford & Company Dallas, United StatesExcellence In Everything We Touch · Position Summary · Resolves complex commercial property losses generally in excess of $100,000 by investigating damages, negotiating adjustment of losses with corporate management, brokerage personnel, lawyers, accountants or public adjusters ...
-
Property Forensic Accountant
Found in: Lensa US 4 C2 - 4 days ago
AmTrust Financial Dallas, United StatesProperty Forensic Accountant · Job Locations · US-GA-Alpharetta | US-TX-Dallas | US-UT-Salt Lake City | US-IL-Chicago · Requisition ID · Category · Claims - Property · Position Type · Regular Full-Time · Overview · AmTrust Financial Services, a fast-growing commercial in ...
-
Regional General Adjuster
Found in: Lensa US 4 C2 - 5 days ago
Crawford & Company Dallas, United StatesExcellence In Everything We Touch · Position Summary · Resolves complex commercial property losses generally in excess of $100,000 by investigating damages, negotiating adjustment of losses with corporate management, brokerage personnel, lawyers, accountants or public adjusters r ...
-
Patient Services Specialist 2
Found in: Careerbuilder One Red US C2 - 2 days ago
Baylor Scott & White Health Dallas, United States Full timeJOB SUMMARY · The Patient Services Specialist 2 provides administrative help in a physician office, clinic or other operational area that assists patients, to ensure high quality, patient-centered care. Duties include patient relations, check-in or check-out, scheduling, insuranc ...
-
Structural/Civil Engineer
Found in: Lensa US 4 C2 - 6 days ago
2-10 Home Buyers Warranty Dallas, United StatesStructural/Civil Engineer · Targeted compensation: $85,000 - $115,000 base Compensation is based on experience and skill set Who we are: · Founded in 1980, 2-10 Home Buyers Warranty (2-10 HBW) strives to improve the quality of housing and the experience of home ownership though ...
-
Analytics Specialist
Found in: Lensa US 4 C2 - 1 day ago
AmTrust Financial Dallas, United States· Analytics Specialist - SIU · Job Locations · US-TX-Dallas · Requisition ID · Category · Analytics · Position Type · Regular Full-Time · Overview · The Investigative Analyst will examine claims and other data sources to detect potentially fraudulent activity. They will conduct ...
Assistant Claims Examiner - Irving, United States - Gainwell Technologies LLC
Description
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
As an Assistant Claims Examiner (Onsite Irving, Texas) at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. Here are the details on this position.
Your role in our mission
Perform important work in one of the most important areas of supporting state healthcare programs.
What we're looking for
What you should expect in this role
The pay range for this position is $26, $37,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.
