- CVS Health (Austin, TX)
- …we do it all with heart, each and every day. **Position Summary:** This Case Manager RN position is with Aetna's National Medical Excellence (NME) team and is a ... role doing both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or face to face assessing, planning,… more
- Centene Corporation (Austin, TX)
- …to external provider related issues + Investigate, resolve and communicate provider claim issues and changes + Initiate data entry of provider-related demographic ... + Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform… more
- Towne Park (San Antonio, TX)
- …be subject to a specific plan or program terms. **SUMMARY** The Associate Manager is responsible for ensuring high levels of client, customer and associate ... including satisfaction surveys and exit interviews. - 15% Assists Account Manager in establishing guidelines so employees understand expectations and parameters.… more
- Berkshire Hathaway Automotive (Irving, TX)
- The Risk Manager at Berkshire Hathaway Automotive will develop and administer organization-wide risk management programs while continuously evaluating potential ... program design, marketing, procurement, and premium allocation. Manage all claims and litigation matters including mediation, involving workers' compensation,… more
- World Insurance Associates, LLC. (Houston, TX)
- …excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies + Maintain a thorough understanding of ... Review all applications, policies, endorsements and audits for accuracy + Complete loss/ claim analysis and summaries + Coordinate expiration list with department … more
- Rolfson Oil (Addison, TX)
- …service records + Create, update, close and bill work orders + File warranty claims in a timely fashion + Commission New Equipment + Order parts, return parts, ... Equipment up/down - Open work order report - Warranty claim summary report - Parts detail reporting - Service...+ Perform other duties assigned as assigned by the manager . QUALIFICATIONS + Valid driver's license + Ability to… more
- HUB International (Irving, TX)
- …comparison, premium comparisons, renewal reviews and renewal proposals. As a Senior Account Manager , you will also be expected to provide leadership and mentoring as ... to, Pre-Renewal Strategic Planning, Risk ID Assessments, Contract Reviews, Claims Reviews (in coordination with Claims Management),...to clients in response to those changes independent of manager approval + Acts as liaison between clients and… more
- Omni Hotels (Houston, TX)
- …accurate documented enrollment for all eligible associates. + Monitor unemployment insurance claims and actively work to reduce claim liability through detailed ... documentation and hearing compliance. + Partner with department heads to understand staffing needs. + Conduct pre-screening of line/management position applicants to include administering the Predictive Index and to explain to management. + Manage full-cycle… more
- Molina Healthcare (Houston, TX)
- …and the education of contracted network providers regarding plan procedures and claim payment policies. * Develops and implements tracking tools to ensure timely ... when providers have issues or complaints (eg, problems with claims and encounter data, eligibility, reimbursement, and provider website). *… more
- Sedgwick (Irving, TX)
- …naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes ... world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey....professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability… more