- Mass Markets (Killeen, TX)
- …globally expanding, industry-leading organization. We are looking forCall Center Claims Representativesto support inbound customer service, help desk, and ... to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures… more
- NTT DATA North America (TX)
- …potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other Insurance ... for improvement. **Requirements for this role include:** + 3+ years of medical claims processing experience + 5+ years of experience using a computer with Windows… more
- USAA (San Antonio, TX)
- …framework and regulatory requirements. **What sets you apart:** + Guidewire Claim Center Experience. + Extensive experience leading teams delivering complex ... solutions with minimal supervision. + Experience with Adobe Site Catalyst, GlassBox, Tableau, and/or other tools for measuring solution success. + Demonstrated experience leading, teaching, and mentoring others. + Experience evaluating technology… more
- Capital One (Plano, TX)
- Work From Home-Senior Fraud Recovery Coordinator- Complex Claims **Are you looking for a challenging role that includes the convenience of working virtually at home? ... Then a Capital One Customer Operations role may be the role for you! To be eligible for this role, candidates must live within a 100 miles radius of one of the following zip codes (** **_excluding CA_** **) and report in person, when required, with at least 24… more
- Capgemini (El Paso, TX)
- …: Bachelor's degree Role Specific Competencies: + Should have baseline skills in BPO Technology, Commercial Control and Analytics. + Should have progressing in BPO ... Process. **Life at Capgemini** Capgemini supports all aspects of your well-being throughout the changing stages of your life and career. For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being… more
- Deloitte (San Antonio, TX)
- …who wants to work in a collaborative environment? As an experienced Epic Resolute PB Claims Analyst you will have the ability to share new ideas and collaborate on ... projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client… more
- Guidehouse (Lewisville, TX)
- …Medicare/Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 claims + Complete all business-related requests and correspondence from patients and ... insurance companies. + Responsible for working on 40-60 Accounts Per Day + Complete all assigned projects in a timely manner. + Assist client and patients in all requested tasks. + Communicate to Guidehouse management areas of concern or areas of improvement.… more
- Command Investigations (Laredo, TX)
- …hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or ... Homeowners Investigations. + Writing accurate, detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Accident scene investigations + Possession of a valid driver's license + Ability to prioritize and organize… more
- Capgemini (El Paso, TX)
- …of the Duties, Responsibilities and Qualifications required for this position. Physical, mental, sensory or environmental demands may be referenced in an attempt to ... communicate the manner in which this position traditionally is performed. Whenever necessary to provide individuals with disabilities an equal employment opportunity, Capgemini will consider reasonable accommodations that might involve varying job requirements… more
- Humana (Austin, TX)
- …The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national ... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion… more