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Claims Specialist Salary in Houston, TX

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Senior Director, Research Credits & Incentive Services Tax (RCIS)
Alvarez & Marsal Tax, LLC, Houston
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Patient Account Specialist Senior - TLRA Insurance
CHRISTUS Health, Houston, TX, US
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Claims Specialist
MMC, Houston
Claims SpecialistSUMMARY: As a Claims Specialist for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim.Duties include:You will submit claims or provide guidance on claim submission;Review coverages and resolve claims issues;Ensure carrier commitments are honored;Coordinate and participate in scheduled claims reviews;Serve as your client's advocate with adjusters and their coverage counsel;Resolve coverage disputes whenever possible;Assess and strategize to produce best possible claim outcomes;Duties may also include:Review of client's overall claims program and individual complex claims situations;Develop strategic action plans to reach desired outcomes;Provide guidance regarding potential large settlements;Recommend suitable vendor partners, including claims TPAs, nurse triage, and others;Review adjuster's claim action plans; facilitate claims resolutions;Evaluate insurance company claim reserves and push for reductions where appropriate;REQUIREMENTS: High School Diploma, Bachelor's degree preferred;Adjusters license;Knowledge of accepted industry standards and practices;Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges;Analytical skill necessary to make decisions and resolve issues inherent in handling of claims;We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Marsh & McLennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, career mobility, employee network groups, volunteer opportunities, and other programs. For more information about our company, please visit us at: http://marshmma.com/careers.
Leave Administrator Specialist
Loomis Armored US, LLC, Houston
With a network of nearly 200 branches, Loomis armored transportation, cash management centers, and cash inventory vaults keep cash flowing throughout financial institutions and retail businesses across the US. Loomis prides itself on providing employees with opportunities for career advancement and job satisfaction. In fact, many of our company's managers, vice presidents, and corporate executives started out in the branches as driver/guards and tellers. Our work can be challenging, but the thousands who have stayed with our company for decades will tell you that if you have the desire to learn and the drive to succeed, Loomis is the place to be. Come join our team! LEAVE ADMINISTRATION SPECIALISTThe Loomis Leave Administration Specialist is responsible for performing leave administration functions that supports our Corporate Benefits operations across the United States and Puerto Rico. The expectation of this role requires a Leave Administration professional with experience in the administration, interpretation, execution and process documentation of all Loomis leaves, including required Federal and State leaves. The Leave Specialist will also assist internal Business Partners with worker's compensation claims and ADA accommodations. This role is located in our Houston, TX Corporate office and reports to the Director of Payroll & Benefits.This is a non-supervisory level position that will work in coordination and as a part of the Loomis Benefits team.POSITION RESPONSIBILITIES Duties will include but may not be limited to the following:• Oversee the day-to-day tasks associated with Loomis leave administration processes for all U.S. and Puerto Rico based employees, inclusive of corporate policies as well as FMLA and individual state mandates. • Primary liaison with third party Leave Administration vendor for monitoring, reporting and where appropriate, approval of leaves. • Administer leaves directly where not supported by the party leave administrator. • Partner with HR and the local Branch to ensure leaves are addressed in a timely and accurate manner. • Coordinate with Payroll for processing of any internal paid leave benefits. • Partner with Benefits leadership on the drafting and creation of all leave related communications and processes. • Provide timely and accurate communications to employees regarding the leave of absence process and/or policies. • Maintain current knowledge of various federal, state and local leave legislation and mandates, including pending actions. • Partner with IT/HRIS to ensure system configuration is consistent with the required application of the leave process, including tracking and reporting requirements. • Provide regular reporting on leave status as provided in HRIS system. • Consult and support our nationwide employees on questions and compliance regarding Leave of Absence benefits and policies. • Advises HR, managers and employees on the interaction of leave laws with paid time off, workers compensation, and short-term and long-term disability benefits. • Coordinate to ensure compliance with Leave Administration policies and ADA accommodations; maintains current knowledge of applicable accommodation laws. • Preserves confidentiality of employee medical documentation and files. • Performs other related duties and projects as assigned.REQUIRED SKILLS AND ABILITIES: • Expert knowledge of leave requirements and laws at the Federal level, specific to FMLA, as well as at the various nationwide State and Local levels. • Comprehensive knowledge of protections offered under ADA with and without coordination to leaves. • Intermediate knowledge of Microsoft PowerPoint, Word, Outlook, Notes • Expert knowledge of Microsoft Excel • Strong interpersonal skills with the ability to interact with internal and external stakeholders at all levels • Effective and professional communicator, both verbal and written, for large groups as well as one-on-one • Ability to work in a fast-paced work environment, managing a variety of tasks simultaneously with efficiency, a large and diversified workload, and challenging situations • Must be detail-oriented and possess strong time management skills • Strong knowledge of multi-state laws and regulations related to health & welfare and leave • Solid investigative and analytical skills sufficient to resolve problems and employee concerns • HRIS system experience, including understanding of leave administration configuration and report writing. 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Coding Quality Specialist (Remote)
UTHealth, Houston
What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in.UTHealth Houston Revenue Cycle is hiring for a Coding Quality Specialist to join their team of professionals. The Coding Quality Specialist will be responsible for performing quality reviews on the coding staff, reviewing the random audit work queue, correcting claim edits , and more. The ideal candidate will have multi-specialty coding experience . Location: 1851 Crosspoint Avenue, Houston, Texas 77054 for 2 weeks or less for training then remote except in special circumstances (meetings, additional training etc.). Must live in Texas (TX).Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus: 100% paid medical premiums for our full-time employees Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year) The longer you stay, the more vacation you'll accrue! Longevity Pay (Monthly payments after two years of service) Build your future with our awesome retirement/pension plan! We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as... Free financial and legal counseling Free mental health counseling services Gym membership discounts and access to wellness programs Other employee discounts including entertainment, car rentals, cell phones, etc. Resources for child and elder care Plus many more! Position Summary:The Coding Quality Specialist is responsible for utilizing official coding guidelines, payer and established departmental policies and procedures to conduct coding quality assurance reviews within the Charge Capture/Coding department under the direction of the Manager, Charge Capture & Coding and the Director, Charge Capture & Coding. The Coding Quality Specialist provides feedback using reports and other tools to coders and coding managers, and helps ensure that coders are meeting established coding quality metrics. Assists in identifying the need for coder education and development.Position Key Accountabilities:1. Performs on-going coding quality assessments in accordance with departmental procedures. Reviews a pre-determined sample of coded encounters and tracks individual coder QA results. Monitors accuracy of code assignment, sequencing, modifier assignments, accuracy of billing provider names, dates of service and other essential elements that the coder is responsible for validating during the normal coding process. Completes reports of QA findings and provides feedback to the coding staff and leadership in a constructive manner to initiate coaching and/or corrective action if satisfactory accuracy rates are not achieved. Ensures encounters being reviewed have correctly assigned ICD-10 CM diagnosis, CPT and/or HCPCS procedure codes. Confirms that all applicable UTHealth and Coding Guidelines are being followed. 2. Responsible for TES/IDX/EPIC Edit Resolution and Coding inquiries. Reviews charge sessions that require resolution via coding and claim system edits in IDX and EPIC. Resolves edits per coding guidelines and department procedures. Performs coding quality checks on charge sessions in the EPIC random audit WQ. Responds to internal and external coding inquires while meeting established turnaround times. 3. Serves as a subject matter expert on coding and assists in training and ongoing education of coders. Works collaboratively with coding leader on identifying education needs. Provides formal, and informal, education as required. 4. Performs other coding functions as appropriate. Ensures departmental tracking logs are kept current. Assists in denial resolution. Assists with coding backlogs as necessary. Adheres to established productivity standards and maintains tracking tools. Stays up-to-date with all federal, stated and departmental coding guidelines and procedures. 5. Performs other duties as assigned.Certification/Skills:Must have one of the following certifications: Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P), or Certified Professional Coder (CPC). Knowledge of ICD-10 CM and CPT coding conventions. Proficiency in Microsoft Office suite, the ability to abstract data and maintain a database required Effective verbal and written communication between internal and external customers Excellent time management skills. Ability to work collaboratively in a remote environment.Minimum Education:Associates of Science degree in health information management or another related field.Minimum Experience:Four years of experience in a Health Information Management (HIM) multi-specialty coding. Coding auditing or related quality assurance work. EPIC and Cerner EMR experience preferred. May substitute required experience with equivalent years of education beyond the minimum education requirement.Physical Requirements:Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.Security Sensitive:This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215Residency Requirement:Employees must permanently reside and work in the State of Texas.
Senior Benefits Specialist
Baker Botts, Houston
Baker Botts L.L.P. is currently seeking an experienced Senior Benefits Specialist to support our Benefits department. With minimal supervision, this position provides daily administration of the Firm’s domestic welfare plans. This is a firmwide, full-time, non-exempt position resident in our Washington D.C., New York or Texas offices. with excellent benefits Essential Duties and Responsibilities: Assists Benefits Team with U.S. based benefits program administration including, but not limited to, medical, prescription drug, dental, vision, health spending accounts, health savings accounts, pre-tax transportation, life/AD&D, disability, voluntary plans, retirement plans, employee wellbeing, employee advocacy, emergency back-up care, leave of absence, and worker’s compensation. Partners with Benefits Manager and BB Well committee on firmwide wellness initiatives. Responds to inquiries from partners, associates, and staff regarding benefits. Acts as liaison between benefit vendors, broker and employees to facilitate resolution of claims and enrollment issues. Assists with annual benefits enrollment, including vendor coordination, annual enrollment communication, meetings, and HRIS system coordination. Coordinates and maintains enrollment records for all partners and staff participating in the Firm’s benefit plans. Assists with the processing of employee benefit records through the online benefits enrollment system to include auditing of weekly reports, verifying keyed data, testing configuration changes, and auditing enrollment data of third-party vendor. Coordinates and reconciles monthly premium billings, including reviewing, updating, and tracking employee changes to ensure employee records reflect the most current set up. Prepares accounting breakdowns and ensures benefit charges are current and accurate. Coordinates with payroll to ensure benefit deduction accuracy. Coordinates with leave administrator to track leaves of absences. Performs additional duties as assigned including special projects. Core Competencies Strong communication skills, both oral and written. Strong work ethic and ability to maintain strict confidentiality. Ability to work well with internal and external clients. Strong organizational skills, problem solving skills and attention to detail. Strong ability to work independently. Qualifications: Bachelor's Degree and 3 – 5 years of prior work experience in welfare benefits administration or, if non-degreed, 6-plus years or related work experience as an equivalent. Must be a self-starter who is able to work in a fast-paced environment, remain flexible, set priorities, work independently and complete multiple projects within established deadlines, while adhering to various standards relative to confidentiality of information. Strong written and verbal communication skills; proven ability to diagnose and resolve issues. Must be able to interact effectively with employees and vendors. Must have above-average customer service orientation, including telephone etiquette. Highly energetic and results oriented, committed to high standards of performance. Must be a solid team player with excellent communication and interpersonal competencies, who can work collaboratively, and effectively influence and negotiate with all levels of staff and management in the HR, Legal and Financial Services departments. Experience reconciling complex insurance billing is strongly preferred. Experience in professional services firm preferred, but not required. Strong analytical skills and a thorough knowledge of plan designs. Proficient in using benefits administration/participant database systems. Experience with Ultipro and Kronos preferred but not required. Experienced with communicating technical benefits-related topics with plan participants. Well organized and detailed oriented; focus on accuracy is critical. Advanced Microsoft Office skills with proficiency in Excel. Extent of Contact (Within and outside the Firm) Heavy contact with vendors (brokers and insurance company representatives). Heavy contact with partners, employees within the Firm. Physical Demands: Must be able to work at a computer for extensive periods of time. Must be able to lift loaded boxes of files weighing approximately 15 pounds. Must be able to routinely lift and carry file folders weighing up to 5 pounds. Must be able to work for 1 hour without a break. Must be able to lift, squat, kneel and bend. Must be able to climb on stepladder to file or access files. Working Condition and Environment: Work is normally performed in a typical office environment. Standard business hours are 7.5 hours per day, Monday through Friday. Minor domestic travel is required. This role may be hybrid and will require a minimum of three days per week (or at least 60%) present in the office, and up to two days per week (40%) may be performed remotely. If this position is placed and worked in the NYC office of Baker Botts L.L.P., the salary range is $44.00 to $66.00 per hour. Baker Botts L.L.P. is an equal opportunity employer and considers all qualified applicants for employment without regard to race, color, gender, sex, age, religion, creed, national origin, citizenship, marital status, sexual orientation, disability, medical condition, military and veteran status, gender identity or expression, genetic information or any other basis protected by federal, state or local law.
Patient Account Specialist Senior - TLRA Support Services
CHRISTUS Health, Houston, TX, US
DescriptionSummary:Provides medical collection services for TLRA collection units. Utilizes a strong background as a medical collection specialist to successfully resolve accounts placed with TLRA for collection. This involves performing collection activities related to follow-up and account resolution and includes communication with patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines. Patient and client satisfaction is essential. Associates in the collection units are expected to have knowledge of the overall collection work processes for both active AR and BD inventory.Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.Provides effective collection services, ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA’s business objectives.Documents and updates patient account information in TLRA’s collection software system timely and accurate to include appropriate account status.Handles inbound patient and/or carrier calls promptly and professionally, providing assistance and resolution to account inquiries, issues, and requests. Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards. Performs research and analysis of account issues and strives to resolve problems timely and accurately. Ensure daily productivity standards are met.Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families.Must have solid knowledge and utilization of desktop applications to include Word and Excel are essential.General hospital A/R accounts knowledge is required.Performs other special projects as required when assigned. Collections – InsuranceMaintains active knowledge of all collection requirements by payors. Collects balance owing from third-party payers in accordance with State and Federal laws governing collections practices. Ensures that collection efforts are thorough with the overall objective being to collect outstanding balances in an ethical manner. Ensures quality standards are met and proper documentation regarding patient accounting records. Contact other departments to obtain necessary information for appeals, pending information, and any other issues that impact and/or delay claim processing. Collections – Self PayEnsures that self-pay accounts are handled in a customer service-oriented manner that accomplishes the goal of collecting monies due to clients, while at the same time preserving the positive image of TLRA that exists in the community.Responsible for assisting patients in identifying eligible means of financial assistance or if non apply working with the patient to make acceptable payment arrangements. Must be an effective team member with good communication skills. Must participate in team meetings, communicate work-related ideas and concerns proactively, and assist in finding appropriate resolutions. Physician Billing/CollectionsEnsure proper reimbursement for all services and to ensure all appeals are filed timely.Review accounts and determine appropriate follow-up activities utilizing Six Sigma Practices.Identify under and overpayments and take appropriate actions to resolve accounts.Validate commercial insurance claims to ensure the claims are paid according to the contract.Direct knowledge using Meditech and CollectLogix software.Monitor and communicate errors generated by other groups and evaluate for trends.Requirements:High School diploma or equivalent years of experience required.3-5 years of experience preferred.Experience in a Customer Service call center environment with a focus on healthcare billing/collections or collection agency environment required.College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.Work Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.
Patient Financial Specialist Lead - TLRA Bad Debt
CHRISTUS Health, Houston, TX, US
DescriptionSummary:The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this position is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts. The position works in a cooperative team environment to provide value to internal and external customers. The associate must demonstrate a consistently high degree of proficiency in their primary position within the Patient Financial Services Department of CHRISTUS Health. The associate is responsible for a variety of activities in the department while applying one's expertise and knowledge within the unit. The position provides opportunities to increase one's scope of responsibility within the PFS Department. Working in partnership with the management team serves as a resource for innovation, staff support, and process improvements. The Patient Financial Specialist Lead carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of CHRISTUS Health, and fully supports CHRISTUS Health's core values of Dignity, Integrity, Compassion, Excellence, and Stewardship.Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.Functions as a subject matter expert in support of other PFS team members and other departments/facilities within the CHRISTUS Health network.Provide on-the-job training as needed and provide a source of knowledge for staff inquiries.Demonstrates a strong understanding of payer benefits requirements, on-line claims status, submission, billing, cash application, and reconciliation procedures.Approve or deny requested adjustments and refunds within role thresholds.Adapt to process and procedure evaluations and improvements, support continuous change, and willingly manage special projects in addition to normal workload and other duties as assigned.Remain flexible if duties are reassigned, which may involve transferring to a more appropriate unit in order to best serve PFS and CHRISTUS Health.Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution while maintaining account integrity and compliance with payer and/or government regulations. Ensures quality and productivity standards are met or exceeded. Appropriately documents patient accounting host system or other systems utilized by Patient Financial Services in accordance with policy and procedures.Provide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort.Continually seeks to understand and act upon customer needs, concerns, and priorities. Meets customer expectations and requirements, and gains customer trust and respect.Demonstrates expertise in role requirements as outlined in the job description for a specific area of responsibility.Must have in-depth knowledge and ability to maneuver efficiently through Patient Accounting Systems, Document Imaging, Databases, etc. Strong understanding of systems from an end-user and processing perspective.Must have good technical aptitude working with a variety of MS Office products (Word, Excel, PowerPoint, Outlook) and/or ability to learn and develop more advanced skills with the various applications.Professional and effective written and verbal communication required.Must have good understanding of the various areas of government, non-government programs, billing, customer service and cash applications.Understanding of alternative Business Office financial resources and the ability to provide information and/or recommendations related to these sources of recovery are preferred. Requirements:HS Diploma or equivalency required.Post HS education preferred.5-7 years of experience preferred.Demonstrated success working in a team environment focused on meeting organization goals and objectives required.Experience in role requirements as outlined in job description for specific area of responsibility preferred.College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.Must have an understanding of alternative Business Office financial resources and the ability to provide information and/or recommendations related to these sources of recovery are preferred. Experience working within a multi-facility hospital business office environment preferred.Work Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.
Credit Dispute Specialist
Stellantis Financial Services US, Houston
Stellantis Financial Services (SFS) is the new captive finance company for one of the world's leading automakers and a mobility provider with iconic brands including Abarth, Alfa Romeo, Chrysler, Citro n, Dodge, DS Automobiles, Fiat, Jeep , Lancia, Maserati, Opel, Peugeot, Ram, Vauxhall, Free2move and Leasys.Our exciting growth provides opportunities to advance your career as we successfully lead products and services from a small to midsize company in just a few years. Join our world class team and culture and contribute to our core mission which is enhancing our customer's experienceSalary and Benefits:At Stellantis Financial Services, we ask a lot of our employees which is why we give so much in return. In addition to your competitive salary, medical/dental/vision plan, and matching 401(k), we'll shower you with perks, including: Salary: Starting at $18.50-$20 per hour based on experience Supplemental pay: Referral bonus Hybrid Flexible Schedule: Work remotely and 1-2 days in office a week and as needed. 8-hour shift, Monday Friday. 8:00 am- 5:00 pm EST Dress: Enjoy our comfortable business casual work environment Our Benefits: Medical, Prescription Drug, Dental, Vision - MDLive / Telemedicine 401k plan PTO - Vacation/ Holidays/ Flex Days/ Sick Days Educational Assistance Employee Assistance Program Long Term Disability Wellness Program Optional and Voluntary Benefits / Marketplace Discounts Employee Vehicle Purchase / Lease Program discount Position Summary:Handles the credit dispute functions and ensures the efficient use of company resources and technical capabilities to properly investigate account information and provide accurate credit report information to the major credit bureaus. Works with Compliance to audit and facilitate the correction of data transmitted to all major credit bureaus.Essential Job Duties and Responsibilities: Adheres to Stellantis Financial Services' policies and procedures for credit dispute resolution, ensuring compliance and thorough investigations. Conducts detailed investigations of all direct and indirect credit disputes, ensuring timely and accurate responses to borrowers and credit repair companies. Investigates claims of identity theft and reviews transactions to ensure the accuracy of information furnished to consumer reporting agencies. Identifies systemic errors or trends within account data, reporting findings to management, and maintains certification in Fair Credit Reporting Act (FCRA) requirements. Ensures compliance with FCRA in researching and responding to credit disputes, maintaining service levels, and updating account statuses as necessary. Acts as a liaison between consumer reporting agencies, E-Oscar, and Stellantis Financial Services management, resolving credit bureau-related issues and assisting with customer inquiries. Ensuring information is reported accurately and is processed promptly whether it is a direct or indirect dispute.Qualifications and Competencies: Experience Minimum of 1 year of research and investigation experience required. Education requirements and/or certifications High school diploma and/or GED Skills required: Language Skills Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Mathematical Skills Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Reasoning Ability Able to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Computer Skills To perform this job successfully, an individual should have beginning to intermediate skills in Microsoft Office including MS Word, MS Excel and MS Outlook. Overtime- As Needed Must have reliable transportation and live within a commutable distance to one of the following cities: Atlanta, GA; Houston, TX;Qualifications Preferred: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The qualifications listed below are representative of the knowledge, skill, and/or ability preferred. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Prior Credit Dispute or Compliance experience. Knowledge of FCRA. Minimum of 1 year of regulatory background.Physical Requirements:Sitting for long periods, standing, walking, close vision for computer work, speaking, hearing, lifting, and/or moving up to 10 ls. Reasonable accommodation will be reviewed upon request.Stellantis Financial Services, Inc (SFS) is an equal opportunity employer and is committed to providing its employees an environment that is free of harassment, discrimination, and intimidation. It is the policy of SFS to comply with all applicable employment laws and regulations and to provide equal opportunity for all qualified persons and to not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, national origin, disability, pregnancy, sexual orientation, veteran status, gender identity or expression, change of sex, and/or transgender status or any protected status. Candidates must possess authorization to work in the United States. This policy applies to recruitment and placement, promotion, training, transfer, retention, rate of pay and all other terms and conditions of employment. Employment and promotion decisions will be based solely on merit, ability, achievement, experience, conduct and other legitimate business reasons. #li-hybrid
Claims Specialist
MMC, Houston
Claims SpecialistSUMMARY: As a Claims Specialist for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim.Duties include:You will submit claims or provide guidance on claim submission;Review coverages and resolve claims issues;Ensure carrier commitments are honored;Coordinate and participate in scheduled claims reviews;Serve as your client's advocate with adjusters and their coverage counsel;Resolve coverage disputes whenever possible;Assess and strategize to produce best possible claim outcomes;Duties may also include:Review of client's overall claims program and individual complex claims situations;Develop strategic action plans to reach desired outcomes;Provide guidance regarding potential large settlements;Recommend suitable vendor partners, including claims TPAs, nurse triage, and others;Review adjuster's claim action plans; facilitate claims resolutions;Evaluate insurance company claim reserves and push for reductions where appropriate;REQUIREMENTS: High School Diploma, Bachelor's degree preferred;Adjusters license;Knowledge of accepted industry standards and practices;Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges;Analytical skill necessary to make decisions and resolve issues inherent in handling of claims;We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Marsh & McLennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, career mobility, employee network groups, volunteer opportunities, and other programs. For more information about our company, please visit us at: http://marshmma.com/careers. #MMASW