- Otsuka America Pharmaceutical Inc. (El Paso, TX)
- …more sales experience in rare disease, immunology, renal, oncology, and/or hospital account manager is strongly preferred + Proven track record for consistently ... to the patients they serve. The Rare Disease Account Manager will report directly to the Area Business Lead,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Molina Healthcare (Fort Worth, TX)
- …administering claims payments, provider claims inquiries, reconsiderations, claims adjudication, and maintaining claim records for the Portal Response ... Preferred License, Certification, Association** + Certification in Training and Development preferred for manager overseeing Training unit + Internal Audit… more
- Samsung SDS America (Plano, TX)
- …grown into a global top-level third-party logistics company. The Innovation Operation Manager & Claims is responsible for leading process improvement initiatives ... related to logistics claims handling and support continuous improvements to minimize claim recurrence. + Identify trends and root causes of claims through… more
- Travelers Insurance Company (Fort Worth, TX)
- …claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate ... claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts,...+ Two or more years of previous outside property claim handling experience preferred . + Interpersonal and… more
- Public Storage (Plano, TX)
- …**Job Description** We currently have an exciting opportunity for a **Workers' Compensation Claims Manager ** to join our Risk Management team based in Plano, ... and at the lowest possible cost. The Workers' Compensation Claims Manager negotiates and maintains relationships with...structured action plan to reach cost effective resolution of claims + Monitor claim activity and proper… more
- Molina Healthcare (San Antonio, TX)
- …to providers. **Job Duties** + Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which ... billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement… more
- Providence (TX)
- …must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, ... take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims ...+ 7 years of relevant general and professional liability claims processing or management experience ** Preferred qualifications… more
- Amazon (Austin, TX)
- …with a level of urgency. Preferred Qualifications - Fleet or commercial auto claims experience - Auditing experience within a claim organization - ARM, AIC, ... across all of its various use cases. Amazon's Logistics Claims Management team is seeking a talented claims...collaboration. * Leverage subject matter expertise to deep dive claim processes, challenge status quo, and develop tactful solutions… more
- Sedgwick (Plano, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... Calculates and pays benefits due; approves and makes timely claim payments and adjustments; settles claims within.... Professional certifications as applicable to line of business preferred . Five (5) years claims management or… more
- Molina Healthcare (San Antonio, TX)
- …and IPA. + 2 years supervisory/management experience with appeals/grievance and/or claims processing within a managed care setting. ** Preferred Education** ... organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and requirements… more