- GE HealthCare (Houston, TX)
- …Negotiate terms and conditions and transmit information to Procurement. Manage claims . Includes commercial sourcing management such as data analysis, negotiations ... range and compensation decisions are dependent on the facts and circumstances of each case . The specific compensation offered to a candidate may be influenced by a… more
- Novolex (Houston, TX)
- …+ Services accounts and manage relationship regarding pricing, product warranty claims , receivables, etc. **Qualifications** **Qualifications:** + Must be able to ... role and compensation decisions are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is $75,000 - $125,000. **Job… more
- Travelers Insurance Company (Austin, TX)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly...of policy information to facts or allegations of each case . + Directly investigate each claim through prompt and… more
- Sedgwick (Irving, TX)
- …from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional ... physical, financial and professional needs. **PRIMARY PURPOSE** : Provides disability case management and routine claim determinations based on medical documentation… more
- Rexel USA (Dallas, TX)
- …RHUSA + Daily Management of third-party administrator for all RHUSA workers compensation claims + Liaise with National Safety Manager on Workers Compensation ... and processes to control the cost of insurance and claims . **What You'll Do:** + Provide best practices in...cost reduction techniques + Clear understanding of the business case for improving post-loss management + Ability to work… 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
- Molina Healthcare (San Antonio, TX)
- …Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... (DRG) experience, 2 years of Utilization Review and/or Medical Claims Review experience. Knowledge in coding: DRG, ICD-10, HCPCS...is highly preferred. Additional experience with 2 years in claims auditing, QA, or recovery auditing ideally in a… more
- CDM Smith (Fort Worth, TX)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- Sedgwick (Irving, TX)
- …from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- USAA (San Antonio, TX)
- …P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager , Claims Operations experience. + Deep operational knowledge of end-to-end ... assistance is not available for this position. **These positions will support Claims Litigations.** **What you'll do:** + Develop and implement strategic customer… more