Exavier Elder, Msml Email & Phone Number

Fort Worth, TX, US

Richardson, Texas, United States

Investigate, evaluate, negotiate, deny, disclaim and settle all auto bodily injury claims, in accordance with State Tort Laws. Including verification of coverage, legal liability and extent of damage to persons, and property, which may require contact by telephone, email and third party vendor (attorneys, and other personnel). May require the preparation.

Remote

Support management with supporting team members. Working closely with senior management. Answering questions, training new team members on policies. Conducting quality checks on members files. Assisting pre & post service coordinators with creating appeals for nurse team to work. Once appeal has been worked out by the nurse assisting with the closure.

Plano, Texas, United States

*Manages, investigates and resolves vehicle damage claims for both the brand of brand of Liberty Mutual & Safeco Insurance Company across all regions. *Handle cases that require special knowledge (such as Total Loss at every severity level with a focus on moderate complexity Total Loss claims, but also able to handle Core and Express claims when.

Fort Worth, Texas, United States

• Proactively engages the member to coordinate their care needs
• Keeps member actively engaged with their primary care physician and assists member with any scheduling medical appointments/transportation, clinical issues or concerns
• Partners with the member’s care team (community, providers, internal staff); serving as a liaison between member and/or caregiver and all health services / processes
• Conduct Social Determinants of Health assessments to identify member needs and connect member with an appropriate care team member to assist when needed.Review care history documentation (e.g., case notes); includes.
• Serves as primary point of contact for internal and external stakeholders
• Conducts in-bound and out-bound calls including, but not limited to member touchpoints, clinical staff coordination, member scheduling, and/or surveys/screenings

Dallas, Texas, United States

• Conduct recorded interviews for purposes of investigating liability, coverage, and disputes in claims.
• Review and interpret policy contract language to approve, disclaim or deny coverage.
• Direct liability investigations to determine percentage of negligence in auto accidents.
• Maintain claim files and meet or exceed goals of quality and efficiency in regard to the claim processes.Actively listens and responds to the customer’s needs.
• Ability to Issue and verify payments, transfer claims up to the correct handling adjuster when needed.
• Verify accident facts, determine policy coverage, and review contracts

Fort Worth, Texas, United States

• Detailed data entry, documentation and recording skills
• Continually making outbound calls to respondents/customersto take a brief healthcare survey regarding their experience with their health care providers (i.e dialysis office, doctors office and health care insurance.
• Answering Inbound calls from customers who may have missed our call and assisting them moving forward.
• Displaying client and patient sensitivity: and customer service
• Familiar with the use of medical terminology, medical office and insurance company’s terms, and procedures
• Update health/medical assessment of client’s current information

Master Of Science - Ms, Management And Leadership

Bachelor'S Degree, Health And Wellness, General