- WTW (Houston, TX)
- …claims adjudication gained preferably in a consulting environment and/or in a major insurance claims administrator or health plan environment + Solid ... administration, as well as of vendors' processes and operating environment + Claims processing knowledge/exposure to one or more administrator claim systems… more
- WTW (Houston, TX)
- …claims adjudication gained preferably in a consulting environment and/or in a major insurance claims administrator or health plan environment + Solid ... administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report. You will… more
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- **Overview** SR. SYSTEMS ADMINISTRATOR (BAMCIT): Bowhead seeks a Sr. Systems Administrator to support the Geographic Service Providers (GSP) Brooke Army Medical ... for the PEO MS/J-6 through contractor staff augmentation. The Sr. Systems Administrator is tasked with improving IT practices and mechanisms with consistent support… more
- System One (Houston, TX)
- Senior Subcontract Administrator Remote System One is seeking a Senior Subcontract Administrator to administer one or more large subcontracts to ensure that ... + Weekly pay + Benefits after 30 days (health insurance , dental insurance , vision insurance ,...storage. Ensures retention of hard copy of reports and claims for seven years. + Serves as liaison between… more
- System One (Houston, TX)
- Senior Subcontract Administrator Remote System One is currently seeking a motivated/seasoned individual to serve as a Senior Subcontract Administrator , ... storage. Ensures retention of hard copy of reports and claims for seven years. * Serves as liaison between...coverage options including medical, dental, vision, spending accounts, life insurance , voluntary plans, as well as participation in a… more
- Mass Markets (Killeen, TX)
- …your future with retirement savings programs, where available. + Disability Insurance :Short-term disability coverage is available to help protect you during ... unexpected challenges. + Life Insurance :Access life insurance options to safeguard your loved ones. + Supplemental Insurance :Accident and critical illness … more
- Elevance Health (Grand Prairie, TX)
- Medical Coding Education Associate Sr (Hospital / Professional Claims ) **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering ... Associate S** r is responsible for the comprehensive analysis of complex claims data to generate refined and industry-relevant concepts that govern the prosperity… more
- Rexel USA (Dallas, TX)
- …well as developing and implementing programs and processes to control the cost of insurance and claims . **What You'll Do:** + Provide best practices in workers ... compensation management across RHUSA + Daily Management of third-party administrator for all RHUSA workers compensation claims + Liaise with National Safety… more
- The Hartford (San Antonio, TX)
- …is responsible for oversight of claims , including high exposure and complex claims , handled by The Hartford's Third Party Administrator (TPA) partners (ie, ... Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working… more
- Elevance Health (Houston, TX)
- …Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case ... rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients.… more
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