- Molina Healthcare (Fort Worth, TX)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... Mastery * Track record coordinating cross-functional action plans with Enrollment, Claims , Pharmacy, Network, and Member Services * Hands-on experience maintaining… more
- Catholic Health Initiatives (Houston, TX)
- …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, ... standing. 10. Maintain department standard of productivity metrics related to claims processed, claims rejected, claims denied, collection volume and rates… more
- HUB International (Irving, TX)
- …not limited to, Pre-Renewal Strategic Planning, Risk ID Assessments, Contract Reviews, Claims Reviews (in coordination with Claims Management), Market Analysis, ... the value-added services being provided by our Risk Services and Claims Management Divisions + Acquires understanding of clients' insurance objectives and… more
- Zurich NA (Dallas, TX)
- …Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Sedgwick (Dallas, TX)
- …+ Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall ... + Assists in projecting software and hardware requirements for claims -related applications. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties… more
- Zurich NA (Houston, TX)
- …Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- The Hartford (TX)
- …within a matrixed business environment where you will have direct interaction with Claims Partners and insureds, we want to speak with you! RESPONSIBILITIES: * ... of defense strategies with autonomy. * Partner with our Claims Partners to achieve the best results for our...Huddles. * Provide in-house training to junior associates and/or claims partners. * Participate in claims file… more
- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims and ... FUNCTIONS** + Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes… more
- Zurich NA (Addison, TX)
- …Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Curtiss-Wright Corporation (Round Rock, TX)
- …(technical, timescales, cost and risk) + Effective co-ordination of change control and claim management + Identification and management of project risk and issues + ... verbal and written, are clear, unambiguous and correctly routed. + Change / Claim Management (preparation and negotiation of) + Prepare and contribute to bids as… more