Claims Examiner Salary at Webtpa BETA

The CERIS Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care. Clinical and/or technical expertise is utilized to address the provision of medical care and to identify inappropriate billing practices and errors inclusive of, but not limited to; duplicate billing, unbundling of charges, services not rendered, mathematical and data entry errors, undocumented services, reusable instrumentation, unused services and supplies, unrelated and/or separated charges, quantity and time increment discrepancies, inconsistencies with diagnosis, treatment frequency and duration of care, DRG validation, service/treatment vs. scope of discipline, use of appropriate billing protocols, etc. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern

Workers Compensation Territory Sales Manager | Dallas/Ft. Worth TX Preference given to candidates with work comp or commercial insurance sales experience in TX, must be located in Northern Texas. Summary: As a Territory Manager your primary focus is building relationships with the insurance agents in your area and maintaining the relationships internally with your underwriting team. The goal is to be the Work Comp expert, the one that your agents come to with any work comp questions and opportunities. If you're knowledgeable with workers compensation and have great agent contacts in Texas and Oklahoma APPLY today! The Territory Manager will be responsible for providing a sales leadership role for all sales and producer management processes. This position will work in cooperation with the EMPLOYERS' Sales Plan and the Underwriting Plan to support, assist and provide guidance to focus our sales effort on business opportunities that are consistent with our underwriting and financial objec

Save Apply 100% Remote. Incredible Growth Opportunities. World Class Mentors and Leaderships Teams. AO wants YOU to join the team. AO is looking for overachievers that pride themselves on developing incredible working and client relationships, have outstanding self determination and are looking to grow within their careers. Company Incentives: • Incentive Trips with Top Leaders to destinations like Cabo, Tulum, Vegas, and Cancun Incredible Prizes - Jeep Wranglers, Macbook Pros, and Airbnb Getaways 100% Remote •Work From Anywhere (no, really!) Weekly Training Calls Preferred Qualifications: • Excellent communication skills, including active listening and problem-solving Ability to learn, adapt, and adjust on the go Works well with others and individually • Possesses a strong work ethic and drive to succeed To be considered, please submit your contact information and an updated copy of your resume for review. *In the interest of community wellness, AO has adjusted our business operations

Sales Representative – Financial Services Location: Remote | Flexible Schedule | Commission-Based (1099) Black Bull Financial is actively seeking motivated and professional Sales Representatives to join our growing team. Whether you're looking for full-time or part-time flexibility, this is a great opportunity to build a meaningful career in the financial services industry while helping individuals and families protect their futures. Key Responsibilities: Develop and maintain relationships with new and existing clients. Conduct client needs assessments to recommend suitable insurance solutions. Educate clients on available policy options and guide them through the enrollment process. Work in a lead-driven environment — no cold calling required. What We’re Looking For: Strong communication skills and a client-first mindset. Self-motivated individuals who take ownership of their work. Ability to manage time effectively and work independently. Must be 18 years or older. Previous sales or

Horace Mann is seeking a detail-oriented and experienced Claims Examiner to join our team in a hybrid work environment in Addison, TX. This role is responsible for setting up and adjudicating claims efficiently while providing exceptional quality service to build customer satisfaction and loyalty. The ideal candidate will have experience in life/health claims, strong organizational skills, and the ability to communicate effectively with policyholders, healthcare providers, and internal teams. If you thrive in a fast-paced environment, have a keen eye for detail, and enjoy making a meaningful impact, this is the perfect opportunity for you! This is not a fully remote position, and you must be able to commute to the Addison office. Responsibilities: Link and set up Substantive, Group, Wellness, and Physician Consult claims in the work distribution and policy administration system. Evaluate submitted claims by reviewing policy provisions and applicable laws to accurately adjudicate claims

Position Overview:1099 Are you ready to ignite your career in sales with passion and professionalism? We are on the hunt for a dynamic and motivated Outside Sales Representative to join our vibrant team and propel the growth of our life insurance products. As a key player in our sales force, you will forge strong client relationships, uncover customer needs, and offer tailored life insurance solutions. This thrilling role lets you work independently, meet potential clients in various settings, and hit your sales targets in a rewarding and supportive environment. Key Responsibilities: Prospecting and Lead Generation: Leverage our unique platform that targets qualified candidates seeking our diverse life insurance products, allowing you to focus more on client interactions and less on lead hunting. Client Consultation: Perform comprehensive needs assessments to understand clients' financial goals and insurance needs, presenting and explaining life insurance options to help clients make i

Texas Farm Bureau Insurance is looking for new agents to join our growing sales team! If you or someone you know is interested in a rewarding career where you have the ability to continuously increase your income, you need to consider this career! The candidate we're looking for could currently experience career dissatisfaction due to insufficient income or lack of growth potential. If you have a desire to become an entrepreneur but aren't sure what direction to go, this is for you. This is a great career move for someone who is looking for more than what a traditional 9-5 can offer. Unmatched flexibility and room to be creative growing your business. Some of the highlights awaiting the right candidates are: Existing renewals plus commission and bonuses Rapid increase in income as you build your book of business Numerous trips and incentives Extensive training program A lifelong career with many opportunities for advancement We provide you with a book of business of existing clients wi

Job Description Job Description We are seeking an Insurance Agent to join our team! You will be responsible for expanding the company's book of business by selling various types of insurance policies to new and existing clients. Responsibilities: Present and sell insurance policies to new and existing clients Develop and calculate suitable plans based on clients' needs Resolve client inquiries and complaints Expand business reach through networking techniques Comply with insurance standards and regulations Track and identify areas of improvement Qualifications: Previous experience in insurance, customer service, or other related fields Ability to build rapport with clients Strong negotiation skills Excellent written and verbal communication skills Ability to prioritize and multitask