- DHS Headquarters (Grand Prairie, TX)
- …to serve as a Law Enforcement Specialist (Facility Security Assessment Program Manager ) Providing protection of life, property and the rights of individual citizens. ... the accuracy of all information in your application. DHS uses e-Verify, an Internet-based system , to confirm the eligibility of all newly hired employees to work in… more
- Elevance Health (Houston, TX)
- … adjustments. **How you will make an impact:** + Audits paid claims for overpayments using various techniques including systems -based queries, specialized ... SPECIALIST III** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to… more
- Elevance Health (Grand Prairie, TX)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies,… more
- Sedgwick (Bedford, TX)
- …and analyzes cases/ claims and enters them into the case management system on behalf of the client. Understands the necessary paperwork and requirements of ... state guidelines and client requirements. + Conducts a thorough review to ensure case/ claim processing is compliant, accurate and timely. + Onboards new cases by… more
- Robert Half Office Team (Plano, TX)
- Description The Bilingual (Spanish) Customer Account Manager provides professional, compassionate front-line support to external and internal partners, responding to ... Answers incoming calls regarding First Reports of Injury and inputs new claims into proprietary software. Accurately documents all contacts and enters provided… more
- Professional Plastics (Carrollton, TX)
- …in standard office and database programs/equipment * Knowledge of ERP systems * Comprehensive understanding of distribution * Capable of leading negotiations ... of 7 years strategic buying experience * Certified Professional Purchasing Manager (CPPM) Competencies: To perform the job successfully, the individual should… more
- Sumitomo Pharma (Austin, TX)
- …. **Job Overview** We are seeking a strategic and detail-oriented ** Manager , Field** **Reporting** to lead the development, delivery, and optimization of ... + Solid understanding of pharmaceutical commercial data (eg, sales, demand, claims , CRM). **Education and Experience** + Bachelor's Degree in Computer… more
- Mass Markets (Killeen, TX)
- …partner in the industry. We are looking for an Experienced Call Center Manager to oversee operations, drive performance, and ensure client satisfaction in a ... analytical, and communication skills. + Proficiency in contact center tools, CRM systems , and reporting platforms. + Experience managing multiple teams or campaigns.… more
- Mass Markets (Killeen, TX)
- …partner in the industry. We are seeking a detail-oriented and strategic Quality Assurance Manager to lead the QA function in our BPO contact center. You will be ... analytical, coaching, and communication skills. + Experience with QA software, CRM systems , and reporting tools. + Certifications in Quality, Six Sigma, or related… more
- Texas A&M University System (Texarkana, TX)
- …all athletic training room operations including purchasing, insurance, and medical claims . + Coordinate and deliver athletic training services to varsity ... Health Insurance Portability and Accountability Act (HIPAA) regulations, in accordance with System policy and is further required to complete FERPA and HIPAA… more