- Elevance Health (Grand Prairie, TX)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... of Evaluation and Management, CPT, HCPCS and ICD-10 code. + Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies,… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... be posted for a minimum of 5 business days. ** Company benefits:** Comprehensive medical, dental, vision, prescription drug coverage,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Health Care Service Corporation (Richardson, TX)
- …rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position ... tools and techniques to conduct detailed investigations of potentially fraudulent claim activity by members, employees and providers, both internally and externally… more
- Hartford Steam Boiler Inspection and Insurance Company (Houston, TX)
- Loss Control Inspector Trainee - Houston, TX ** Company ** HSB **Location** Houston , United States The Hartford Steam Boiler Inspection and Insurance Company is ... of jurisdictional certification, loss prevention, risk assessment, OnSights and claims investigations. May be utilized for fee service engineering inspections.… more
- Zurich NA (Austin, TX)
- …a **culture of innovation and excellence! Great opportunity** to: + Join a global company that gives you an opportunity to collaborate with some of the best talent ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...incentive bonus eligibility set at 20%. As an insurance company , Zurich is subject to 18 US Code |… more
- Travelers Insurance Company (Richardson, TX)
- …institutions -Professional Liability: Professional liability coverage protects against liability claims for negligence, errors and omissions in the performance of ... professional services -Public Company Liability: Insurance products crafted to address the diverse...to work for ANY employer in the US The company does not sponsor/support H-1B petitions, TN, or Forms… more
- Covenant Health (Lubbock, TX)
- …minimal supervision. This individual is able to readily identify and respond to claim denial trends, postings error trends and/or complex inquiry calls for the ... This individual identifies correct coding initiative via thorough research of the claim through use of available payer management guidelines and systems in order… more
- Robert Half Legal (Mckinney, TX)
- …with clients, court officials, and other legal professionals. * Support claim administration tasks, ensuring timely processing and resolution. * Collaborate with ... * Strong communication skills, both written and verbal. * Experience with claim administration and related legal processes. * Proficiency in using legal software… more
- Covenant Health (Lubbock, TX)
- …minimal supervision. This individual is able to readily identify and respond to claim denial trends, postings error trends and/or complex inquiry calls for the ... This individual identifies correct coding initiative via thorough research of the claim through use of available payer management guidelines and systems in order… more
- Health Care Service Corporation (Mesquite, TX)
- …rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position ... Luminare Health office. The associate meets face-to-face with members to resolve claim issues, assist with understanding of benefits, assist with Open Enrollment… more