- Rush Enterprises (San Antonio, TX)
- …changes, keeping detailed records of customer transactions, certificate requests, claim filing and answering questions regarding policies and explaining coverage. ... Communicate with customers and insurance company regarding ongoing service, policy changes, claims and customer satisfaction. + Follow up on outstanding items from… more
- CenterWell (Vernon, TX)
- …HCHB and computer programs as appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all ... team at the branch to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's mandatory HIPAA / Privacy… more
- Robert Half Finance & Accounting (Houston, TX)
- …* Proficiency in Budget Processes and financial forecasting * Experience in Claim Administration, specifically in employee benefits claims * Excellent ... Communication skills, both written and verbal * In-depth knowledge of Compensation & Benefits in a corporate setting * Experience with Compensation - Commissions, including calculation and distribution * Ability to conduct thorough Compensation Analysis and… more
- USAA (San Antonio, TX)
- …companies (auto, property, life) and class actions. + Experience analyzing insurance claims handling practices and claim files for personal lines insurance ... products. + Excellent proficiency with rules of civil procedure and evidence, e-discovery processes, and institutional document production and retention issues. + US military experience with skills related to one of the following MOS's: Navy (JAG Corp… more
- Carrington (Plano, TX)
- …internal departments, in-house attorneys, and other stakeholders. + Conduct pre- claim title review including reviewing title records, organizing documents, creating ... chronologies, preparing and submitting title claims , monitoring for response from insurers and working with carrier retained counsel. + Ensure compliance with… more
- CVS Health (Austin, TX)
- …including co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management and eligibility. ... cases at case conferences for multidisciplinary focus to benefit overall claim management. - Utilizes case management processes in compliance with regulatory… more
- Cognizant (Austin, TX)
- …processes, training, continuous improvement, system automation. + System health monitoring of: Claim adjudication jobs, ASP alerts, CPU alerts, Claims queue ... monitoring, Storage monitoring, Connect Direct subsystem. + Contact different teams if requested by on-call + For application upgrade events, place job queues on HOLD for MOD and Patch instances + Responsible for performing and monitoring all backups on the… more
- Vistra (Irving, TX)
- …to property tax positions and federal prevailing wage compliance necessary to claim certain federal income tax credits + Analyzing transaction facts and applicable ... and generating documentation to support tax return filing positions and refund claims + Monitoring federal, state and local tax regulatory and legislative… more
- Elevance Health (Grand Prairie, TX)
- …patient, and prescriber encounters, including, but not limited to prescription claim adjudication exceptions, returns, reships, drug recalls, and patient and ... PBM/Plan insurance setup, including but not limited to the processing of claims adjudication and resolution of reject messaging strongly preferred. + Experience in… more
- Berkshire Hathaway Automotive (Irving, TX)
- …program design, marketing, procurement, and premium allocation. Manage all claims and litigation matters including mediation, involving workers' compensation, ... of TPA/Insurance companies to accurately set reserves for know exposure. Perform claim audits with TPA/Insurer to validate reserving practices. * Participate in… more