- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Molina Healthcare (San Antonio, TX)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... **Knowledge/Skills/Abilities** + Holds general oversight of enrollment and premium staff at each plan site within defined region. This may include employee reviews, coaching sessions and disciplinary actions. + Monitors and enforces compliance with… more
- Kyndryl (Austin, TX)
- …Partner with CCaaS architects to build future-proof architectures with EHR, CRM, and claims system integrations. The compensation range for the position in the US is ... $159,240 to $286,560 based on a full-time schedule. Your actual compensation may vary depending on your geography, job-related skills and experience. For part time roles, the compensation will be adjusted appropriately. The pay or salary range will not be… more
- Molina Healthcare (Fort Worth, TX)
- …with AI Data Integration._** + **_Experience with Member, Enrollment, and Claims applications -_** **which underpin essential business functions such as HEDIS ... reporting, Risk Adjustment (RA), and Health Plan Reporting.** + **_Azure Databricks._** + **_Python._** + **_Spark._** + **_QNXT._** **Preferred License, Certification, Association** Microsoft Technology, Mobility, ITIL To all current Molina employees: If you… more
- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse… more
- Rexel USA (Dallas, TX)
- …to troubleshoot claims issues + Assist in settlement negotiations on all claims in liaison with Director , Risk Management, Legal, Outside Counsel, and ... and processes to control the cost of insurance and claims . What You'll Do + Provide best practices in...Finance + Participate in quarterly claim reviews and best practice audits with Third Party… more
- Kemper (Mcallen, TX)
- …attorney represented injury claims , complex injury claims , and litigated claims . The Litigation Specialist will have advanced claim handling skills and ... **Position Responsibilities:** + Successfully handle any complex coverage or liability claims investigation. + Evaluate complex injury claims and determine… more
- Southland Holdings (Grapevine, TX)
- Job Title: Construction Contract Manager Reports To: Director of Commercial Management Location: Grapevine, TX Department: Commercial Management / Project Management ... thinking, and problem-solving skills. The manager supports dispute resolution, claims , and contract compliance, serving as a trusted advisor...& Disputes: + Lead or support the preparation of claim narratives and change order packages. + Assist in… more
- The City of Houston (Houston, TX)
- …alternatives for risk control and/or mitigation. Commercial property insurance claim leader. Establish and coordinate all internal processes, procedures and ... guidelines for post disaster commercial insurance claim recoveries and settlements. Participate in damage assessments and compile data for executive summaries,… more
- Covenant Health (Lubbock, TX)
- …of claim billed and collected on behalf of Covenant. This individual addresses claim edits, files all claims on either a UB-04 (RHC) or 1500 (835/837 ... **Description** Under the direction of the Central Business Office Director and the direct supervision of the Manager and/or Supervisor, the Associate Billing and… more