- Molina Healthcare (Dallas, TX)
- …**Job Summary** Responsible for collecting, storing, processing, and analyzing large sets of data. The primary focus will be on choosing optimal solutions to use for ... these purposes, then maintaining, implementing, and monitoring them. He/she will also be responsible to follow architecture and best practices used across the enterprise. **Knowledge/Skills/Abilities:** * Define ideal Architecture, Evaluating tools and… more
- Deloitte (Fort Worth, TX)
- …+ Support Epic enterprise implementation for a large academic medical center and health system in the Southeast region. + Conduct Epic Hospital Billing application ... Are you an experienced, passionate pioneer in technology? An industry solutions professional who wants to work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist, you will have the ability to… more
- The Hartford (San Antonio, TX)
- …theirs, too. Join our team as we help shape the future. The Claims Team Leader will manage and direct claim investigation, compensability determination, ... Oversee the completion and execution of the investigation, disposition and settlement of claims , in compliance with corporate claim standards and procedures, and… more
- Houston Methodist (Houston, TX)
- …includes, but is not limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and ... knowledge of billing practices and maintains departmental standards relating to insurance claims processing, charge entry and billing functions. This role is also… more
- Sedgwick (Dallas, TX)
- …strong client relationships. + Participate in regular discussions with clients regarding claim status/developments and reserving of excess claims . + Engage ... **PRIMARY PURPOSE** **:** To be an Account Manager with General Liability Claims experience responsible for the end-to-end management of liability claims … more
- Sedgwick (Irving, TX)
- …needs. **PRIMARY PURPOSE** : Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan ... and making timely payments/approvals and adjustments, medically managing disability claims ; coordinates investigative efforts, thoroughly reviewing contested claims… more
- Sedgwick (Irving, TX)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- City of College Station (College Station, TX)
- …thorough and sufficient supporting evidence. + Maintain accurate and complete claims records, including entering incident reports, assigning claim numbers, ... city-wide risk management programs. Key responsibilities include contract and claims administration, loss prevention, insurance policy management, and offering… more
- Allied Universal (Waco, TX)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Samsung SDS America (Plano, TX)
- …maintaining strong client relationships Claims Management & Resolution + Analyze claims data to determine claim validity, coverage, and/or liability for ... you'll provide legal advice for the resolution of logistics claims and mitigate legal risks by ensuring compliance with...Develop and distribute key reports and analyses, including comprehensive claim reports and ad hoc reports for management to… more