- Prime Therapeutics (Austin, TX)
- …make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit claims and adjustments as required. Track and trend ... training as needed. Resolve claims edits and suspended claims. **Responsibilities** + Adjudicate or submit claims and adjustments as required. + Implementation and… more
- Sedgwick (San Antonio, TX)
- …some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver ... innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer… more
- Executive Office for US Attorneys and the Office of the US… (Laredo, TX)
- …In particular, please notify this Office if you currently represent clients or adjudicate matters in which this Office is involved and/or you have a family ... member who is representing clients or adjudicating matters in which this Office is involved so that we can evaluate any potential conflict of interest or disqualification issue that may need to be addressed under those circumstances. Type of Position: This is… more
- L3Harris (Waco, TX)
- …to support program meetings + Assist with processing staff expense reports and adjudicate issues + Assist with special projects and tasks from functional areas that ... support the S&AS Business Area Qualifications: + Graduate Degree technical discipline (Engineering, Information Technology, Computer Science, etc.), Business Administration, Management, or related field Preferred Skills: + Experience working with Microsoft,… more
- NTT America, Inc. (Plano, TX)
- …independently to research, review and act on the claims 6. Prioritize work and adjudicate claims as per turnaround time/SLAs 7. Ensure claims are adjudicated as per ... clients defined workflows, guidelines 8. Sustaining and meeting the client productivity/quality targets to avoid penalties 9. Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA. 10. Timely response and resolution of claims received via… more
- NTT America, Inc. (Plano, TX)
- …independently to research, review and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are adjudicated as per ... clients defined workflows, guidelines + Sustaining and meeting the client productivity/quality targets to avoid penalties + Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA. + Timely response and resolution of claims received via emails… more
- Sedgwick (Irving, TX)
- …some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver ... innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer… more
- Adecco US, Inc. (Irving, TX)
- …regulations * Process and send refill requests, verify eligibility, and adjudicate third-party claims * Accurately interpret prescriptions, verify patient and ... physician information, and calculate dosages * Maintain prescription records and ensure orders meet service-level agreements * Support program-specific requirements, including prescriber calls, shipment-related inquiries, and escalations * Assist in… more
- NTT DATA North America (Dallas, TX)
- …independently to research, review and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are adjudicated as per ... clients defined workflows, guidelines + Sustaining and meeting the client productivity/quality targets to avoid penalties + Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA. + Timely response and resolution of claims received via emails… more
- Executive Office for US Attorneys and the Office of the US… (Del Rio, TX)
- …In particular, please notify this Office if you currently represent clients or adjudicate matters in which this Office is involved and/or you have a family ... member who is representing clients or adjudicating matters in which this Office is involved so that we can evaluate any potential conflict of interest or disqualification issue that may need to be addressed under those circumstances. Political Appointees… more