- Fun Town RV (Amarillo, TX)
- …warranty-related costs. + Develop strategies to increase warranty reimbursement rates, minimize claim denials, and ensure all eligible claims are submitted. + ... competitive earning opportunities, we encourage you to apply! Overview: The Warranty Manager is responsible for overseeing the warranty process within the RV… more
- Elior North America (Houston, TX)
- …more. We're looking for a proactive and solutions-focused Workers' Compensation Program Manager to help us effectively manage, investigate, and resolve claims . ... and procedures that strengthen our program. You'll report to the Risk Manager and collaborate closely with Safety, Legal, Segment teams, Human Resources, insurance… more
- Molina Healthcare (TX)
- …execute effective Payment Integrity strategies through both pre-payment and post payment claims reviews, aligning with industry and corporate standards as well as ... Clinician. This includes assessing medical documentation, itemized bills, and claims data to ensure appropriate payment levels, optimize resource utilization,… more
- Travelers Insurance Company (Richardson, TX)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to...for all PI solutions. + Lead efforts to improve claim payment accuracy, claim referrals, adjustment analysis… more
- Travelers Insurance Company (Houston, TX)
- …evaluating, reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim ... is designed to support flexibility. **What Will You Do?** CLAIM HANDLING: + Directly handle assigned severe claims...facts or allegations of each case. + Consult with Manager on use of Claim Coverage Counsel… more
- Houston Methodist (Houston, TX)
- …and/or manager regarding trends to avoid further delay in claims processing. + Demonstrates understanding of fundamentals of all payors, including Medicare, ... includes, but is not limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and… more
- Molina Healthcare (Fort Worth, TX)
- …and financial outcomes for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance ... a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Southland Holdings (Grapevine, TX)
- …demands strong contract expertise, strategic thinking, and problem-solving skills. The manager supports dispute resolution, claims , and contract compliance, ... Job Title: Construction Contract Manager Reports To: Director of Commercial Management Location:...responses. + Draft formal contract correspondence, including notices and claims , to protect company entitlements. + Collaborate with scheduling… more
- Kemper (Dallas, TX)
- …severity assessment and exposure assignment of newly reported losses to appropriate Claims Adjusters. + Periodically review exposures and pending inventory to ensure ... claims are assigned to personnel with sufficient experience. +...support for establishing appropriate reserves for new and ongoing claim investigations. + Provide technical support for the interpretation… more