- Molina Healthcare (Austin, TX)
- …configuration, and testing for platforms such as Salesforce ( case management , integrations), QNXT (or similar core claims ), RPA/automation, and ... they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that span… more
- USAA (San Antonio, TX)
- …+ Recognizes and solves routine and intermediate issues arising out of legal case management . + Follows practices and processes to achieve results to ... us special and impactful. **The Opportunity** As a dedicated ** Claims Litigation Manager - Section II** , you...apart:** + 4 or more years of injury Litigation Case management under the Homeowner/Renter Policy Contract/Umbrella… more
- CVS Health (Austin, TX)
- …improvements across key provider journeys including self-service / digital transactions, claims management , dispute resolution, and more. They will directly ... Strong organizational skills **Preferred Qualifications** + Prior experience across common claims management tools / resources including Availity provider… more
- Zurich NA (Austin, TX)
- …organizations. **This role will be filled at either the** **Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate ... + Develop and implement effective claim resolution strategies, including case evaluations, issue escalation, and timely disposition planning. +...and 4 or more years of experience in the Claims and Litigation Management area.OR + High… more
- Brink's (Coppell, TX)
- …claim activity for timely and compliant handling, including escalation of high-exposure or complex claims to Sr. Manager , Risk Management & Insurance. + ... Analyst to support the development, implementation, and oversight of its risk management , claims handling, and insurance programs, with a primary focus on… more
- Marriott (Plano, TX)
- …caseloads vary based on the mix and complexity as determined by Claims Unit Manager .) **CANDIDATE PROFILE** **Education and Experience** _Required_ High ... _Preferred_ Knowledge of claims processing. Applicable industry licensing. Associate in Claims (AIC) or Associate in Risk Management (ARM). Two or four… more
- CVS Health (Austin, TX)
- …role is a blended role doing both Case Management and Utilization Management . The RN Case Manager is responsible for telephonically and/or face to ... with heart, each and every day. **Position Summary** This Case Manager - Registered Nurse (RN) position... claims to address potential impact on current case management and eligibility. + Assessments include… more
- CVS Health (Austin, TX)
- …functionality. - Reviews prior claims to address potential impact on current case management plan. - Assessments include the member's level of work capacity ... however, it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and… more
- Sedgwick (Houston, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus **This Field Case Manager will cover ... order to be considered.** **Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick… more
- Elevance Health (Houston, TX)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager Senior** is responsible for care management within the scope of licensure ... **Telephonic Nurse Case Manager Senior** **Location:** This role...acute care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care… more
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