- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **Position Summary** **Working hours :** **Monday through Friday between the hours of 7** **:00am to 6:00pm ... including co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management plan. -… more
- Cisco (Austin, TX)
- …collaborate cross-functionally with Distribution Marketing Teams, Regional Distribution Finance, the Claim Auditing Team (POP COE), and various teams at individual ... regarding program adherence + Review exceptions and holds on claims submitted by Distributors + Monitor the payment process...per full calendar year, accrued at rate of 4.92 hours per pay period for full-time employees + Exempt… more
- Omni Hotels (San Antonio, TX)
- …accurate documented enrollment for all eligible associates. + Monitor unemployment insurance claims and actively work to reduce claim liability through detailed ... Omni standards. The Human Resource LID will spend 40 hours each week working within the department and 7.5... each week working within the department and 7.5 hours completing Learning Commitments throughout the training property. Learning… more
- Sedgwick (Austin, TX)
- …Insurance Marine Investigator **PRIMARY PURPOSE** **:** To perform detailed admiralty claims investigation and analysis through examination of the loss, collection ... + Runs and interprets formal background checks related to claims through online resources, evaluating the results as it...100 pounds + Ability to drive up to 4 hours per day **Auditory/Visual** **:** Hearing, vision and talking… more
- Sunrise Senior Living (Frisco, TX)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate ... laws/provincial labor/labour laws, and Sunrise timekeeping policies in recording/punching hours worked. + Process payroll and follow established business processes… more
- Towne Park (Dallas, TX)
- …to enroll in the company's 401k retirement savings plan. **Paid Time Off:** Employees accrue 0.0385 hours of PTO per hour worked up to a maximum of 80 hours per ... - 15% Understands and drives business metrics for forecasting, productivity, claims , customer service, and turnover. Ensures all associates accurately identify and… more
- Towne Park (Dallas, TX)
- …to enroll in the company's 401k retirement savings plan. **Paid Time Off:** Employees accrue 0.0385 hours of PTO per hour worked up to a maximum of 80 hours per ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates… more
- CVS Health (Austin, TX)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... metrics **Required Qualifications** + 3-5 years of experience in a medical claim background with demonstrated ability and strong understanding of benchmarking costs… 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
- Elevance Health (Grand Prairie, TX)
- …Mason OH, Tampa FL, Richmond VA, Atlanta GA, Grand Prairie TX, Indianapolis IN ** Hours :** Monday - Friday **Travel:** This role requires associates to be in-office 1 ... Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider… more
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