- Prime Therapeutics (Austin, TX)
- …or submit claims and adjustments as required. + Implementation and maintenance of claims processing programs and procedures + Verify that claims are ... our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit claims … more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... in the industry. We are looking for call center claims representatives to support inbound customer service, help desk,...to support inbound customer service, help desk, and back-office processing . In this role, you will handle inbound inquiries,… more
- USAA (San Antonio, TX)
- …and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information Management, ... and long-term strategy and vision of the assigned sub-functions for the CoSA Claims working with peers to set objectives across the different sub-functions that… more
- Centene Corporation (Austin, TX)
- …managing, and owning workforce management strategy, process, and execution for claims . Will focus on tactical and strategic plans, capacity planning, quality, ... and SLA performance of the organization. + Drives cross functional improvements in processing times and prevention of aging work. + Performs other duties as… more
- NTT America, Inc. (Plano, TX)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role ... Responsibilities** - Processing of Professional claim forms files by...**Required Skills/Experience** + 1+ years hands-on experience in Healthcare Claims Processing + 2+ years using a… more
- Houston Methodist (Houston, TX)
- …knowledge of billing practices and maintains departmental standards relating to insurance claims processing , charge entry and billing functions. This role is ... CBO department and Account Managers to identify and prevent claims processing errors. + Assists with knowledge...notes in system for each account worked. + Identifies claim processing issues and general billing trends.… more
- Kemper (Mcallen, TX)
- …At Kemper, a Unrepresented Solutions Manager is responsible for the oversight of all claim processing and management activities assigned to claim units. This ... and also provides guidance and support to ensure timely, accurate, efficient claim processing and performance metrics. **POSITION RESPONSIBILITIES:** + Manages… more
- Fun Town RV (Amarillo, TX)
- …reimbursements and maintaining compliance with warranty standards. Warranty Claim Processing : + Review, prepare, and submit warranty claims to manufacturers ... Administrator is responsible for managing all aspects of warranty claims in the dealership. This role ensures that warranty...claim approvals and denials to identify areas where claims could be improved or minimized. + Work with… more
- Molina Healthcare (TX)
- …teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing . This role will focus on identifying, reviewing, ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- USAA (San Antonio, TX)
- …military spouse/domestic partner + 5 or more years Medicare or Medicare Supplement claim processing , operations, or administrative experience. + 5 or more years ... to review, analyze, and investigate life, health, and annuity claims to ensure claim validity and to protect the association from potentially fraudulent… more