Document processor • allen tx
Summary Of Position: Under the guidance and direction of the Team Leader (Claims Supervisor), the primary role of a Senior Claims Examiner is that of a superior claims processor with a thorough kno... Show more
At TJX Companies, every day brings new opportunities for growth, exploration, and achievement.You’ll be part of our vibrant team that embraces diversity, fosters collaboration, and prioritizes your... Show more
We're seeking insurance professionals to help train AI systems on complex insurance document analysis.You'll evaluate AI performance on policy documents, underwriting guidelines, claims assessments... Show more
Originate portfolio loans, secondary market conventional, FHA, VA and RD loans which are compliant with investor requirements and all State and Federal laws and regulations; Promote Bank products a... Show more
Texas Health Physicians Group is excited to announce a.Primary focus is on orthopedic and spine care for active individuals and athletes of all ages.Take advantage of this opportunity to work as a ... Show more
Real-world expertise is turned into training data, evaluations, and feedback loops that improve how models perform.AI labs and enterprises use micro1 to train models and build reliable AI agents th... Show more
Real-world expertise is turned into training data, evaluations, and feedback loops that improve how models perform.AI labs and enterprises use micro1 to train models and build reliable AI agents th... Show more
Loan Document Specialist II - Consumer.The Consumer Loan Document Supervisor is primarily responsible for overseeing the documentation of consumer loans and related daily functions and processes.Re... Show more
Join Vyora International as a Document Delivery Driver and become an integral part of a dynamic team dedicated to excellence in service.At Vyora International, we pride ourselves on our commitment ... Show more
Green Brick Mortgage is looking for a detail-oriented loan processor to join our team in Plano, TX.As a loan processor, you will be responsible for preparing and organizing loan files, ensuring all... Show more
RideNow Cash Offer: Vehicle Document Specialist.Looking for a fast-paced customer service-oriented position in the rapidly growing field of powersports? Our RideNow Cash Offer team is hiring a vehi... Show more
The Mortgage Loan Processor role will be responsible for performing a variety of documentation duties related to both agency and portfolio loans while ensuring compliance with policies and procedur... Show more
Home Lending Infrastructure as a platform will power AI solutions across conversational experiences (voice and chat), agent assist, and agentic workflows spanning the mortgage lifecycle-from applic... Show more
Pay: $16/hour- Please note this pay rate may be below your state's minimum wage.Please take this into consideration when applying.Monday Friday | Scheduled start times may vary between 3:00 AM 6:... Show more
Real-world expertise is turned into training data, evaluations, and feedback loops that improve how models perform.AI labs and enterprises use micro1 to train models and build reliable AI agents th... Show more
Our mission is to establish long-term, mutually beneficial financial relationships with our clients, team members, and community.Recruit, reward, and retain a team of market leading professionals.C... Show more
Texas Health Physicians Group is excited to announce a.Primary focus is on orthopedic and spine care for active individuals and athletes of all ages.Take advantage of this opportunity to work as a ... Show more
Real-world expertise is turned into training data, evaluations, and feedback loops that improve how models perform.AI labs and enterprises use micro1 to train models and build reliable AI agents th... Show more
Come join Payroll Tax Operations (PTO) as a payroll tax professional responsible for the accurate and timely resolution of payroll tax issues across Notices, Corrections, Amendments, and Pay & File... Show more
Fannie Mae Mortgage Ops Lead - Document Custody.Playing an essential role in the U.Fannie Mae is foundational to housing finance.Here, your expertise can help fuel purpose-driven innovation that ex... Show more
The average salary range is between $ 29,231 and $ 46,067 year , with the average salary hovering around $ 33,150 year .
Summary Of Position: Under the guidance and direction of the Team Leader (Claims Supervisor), the primary role of a Senior Claims Examiner is that of a superior claims processor with a thorough knowledge of all claims processing systems, claim processing rules and medical policy. The successful candidate will also possess analytical skills to aid in research and resolution of Adjustment inquiries and/or correspondences. The incumbent will also possess a cooperative spirit that will lead to information sharing with the goal of enhancing the overall performance of the Department.
Major Duties And Responsibilities: Proficient in the use of all claim related systems, including Claims Processing System, Claims Workflow, Claims Pricing system, Claims processing rules and Desk Level procedures. Interpret and apply applicable processing guidelines while interacting with on-line system edits/pends. Research written and/or verbal queries from providers/members/internal departments to determine appropriate action on claim and process corrections as required. Analyze patient and medical information to identify instances where investigation for determining appropriate Claim Benefits, Pricing, Prior Authorization or Coordination of Benefits is necessary and process claims accordingly. Adjudicate all claim types, including professional and facility for all lines of business. Process voids and adjustments as required. Meet and maintain individual and departmental productivity and quality standards. Review and release high dollar claims or other complex claims adjudicated by less senior examiners as directed by the Team Leader (Claims Supervisor). Review reports and research pended claims to ensure timely adjudication within accepted corporate cycle times. Reports include, but are not limited to, daily hot and pend reports, weekly cumulative pend, and other special reports as received from customer. Identify, based on review and research of pend reports, and inform.
Job Location: USTXPAOC01 Plano - TX USA, CLT Alternate.
