- Molina Healthcare (TX)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... of Benefits (COB) claim pricing and processing. This role will focus on...guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen.… more
- Travelers Insurance Company (Austin, TX)
- …key decisions. You will be working with the Pricing, Product, Underwriting, and Claims teams to both learn the business and communicate your findings and ... B&SI reserving team embraces innovative methods, such as advanced claim level models, you'll play a key role in...the Financial Institutions business unit. + Work with the Claims department to ensure best estimates are appropriately reserved… more
- Schlumberger (Houston, TX)
- …matters including but not limited to contract compliance, change management and claim mitigation strategies. Analyzing the basis and extent of change Tracking ... claims and monitoring progress through the claims resolution process. Analyzing claims and identifying merit/validity if any managing disputes, managing… more
- CDM Smith (Fort Worth, TX)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific...and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI ESS **Employment Type:** Regular… more
- Sedgwick (Austin, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues… more
- Towne Park (Grapevine, TX)
- …(http://www.townepark.com/wp-content/uploads/2023/06/CCPA-CPRA-Notice-at-Collection-Applicants\_Towne-Park-Careers.pdf) . The Account Manager directly oversees one ... may be subject to a specific plan or program terms. **JOB SUMMARY** The Account Manager directly oversees one Tier 1 or 2 Towne Park account and is responsible for… more
- Kemper (Dallas, TX)
- …Specialist will investigate, evaluate and handle to conclusion all assigned litigated claims . The Litigation Specialist will have advanced claim handling skills ... and be able to effectively manage the litigation claim process. Open positions in several office locations, Birmingham,...programs to advance knowledge in the area of insurance claims . + Work closely with the manager ,… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager RN role is with the Costco Team and is fully remote; however, candidates must ... weekends or holidays will be required** . The Case Manager RN is responsible for telephonically and/or face to...and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management… more
- HCA Healthcare (Houston, TX)
- …coverage;** + You will work with defense legal counsel to coordinate claim investigations; Process claims against the facility, including the preparation ... **Introduction** Do you have the career opportunities as a Manager Patient Safety you want in your current role?...Texas! **Job Summary and Qualifications** **We are seeking a Manager (RN) within Risk for our facility to ensure… more
- GKN Aerospace (Dallas, TX)
- …where you can take your career. Job Summary The North American Regional Contracts Manager and Global Commodity Senior Buyer is a position that is designed to provide ... North American aerospace manufacturing sites. Job Responsibilities The Contracts Manager is responsible for the management of GKN's new...and advice to the team to progress and resolve claims , queries and disputes between GKN and suppliers; +… more