- Mass Markets (TX)
- …and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date ... including encrypted ones, are not allowed for accessing the clients Work at Home systems . + You must provide your own headset. Specific models will be recommended… more
- Mass Markets (TX)
- …will apply the latest customer service techniques and learn our account management systems while helping improve the customer experience during a difficult time. Key ... + Improve the customer's experience + Utilize our service techniques and systems + Escalate customer dissatisfaction to proper channels In addition to becoming… more
- Mass Markets (Killeen, TX)
- …actively to customer concerns and resolve issues effectively + Use internal systems to manage accounts and complete service tasks + Identify sales opportunities ... Microsoft Office (Excel, PowerPoint, Word, Outlook) + Familiarity with Windows operating systems + Reliable and punctual with strong time management + Strong… more
- Molina Healthcare (Dallas, TX)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... combination of education and experience **PREFERRED EXPERIENCE** : + 1-3 years + Preferred Systems Training: + Microsoft Office + Genesys + Salesforce + Pega + QNXT… more
- Mass Markets (Killeen, TX)
- …to maximize value + Research and resolve customer issues using internal systems and team collaboration + Accurately document customer interactions and manage account ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- USAA (Houston, TX)
- … claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members ... for handling, if applicable. + Maintain accurate and current claim file documentation throughout the claims process...inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves… more
- Sysco (Houston, TX)
- …Provide on-going guidance and feedback to Sysco facilities on appropriate documentation and claim mitigation practices. + 10%: Prepare claims packet in Sysco ... freight profitability. This role utilizes all cross-functional resources, internal systems , and processes available to minimize the number of...+ 10%: Filing, follow through, and closure of carrier claims in TMS system . + 10%: Maintaining… more
- ATI (Dallas, TX)
- …will provide advanced support in managing asbestos and other litigated claims , insurance matters, discovery, and legal operations platforms. The Senior Paralegal ... initiatives across the Legal Department. Key Responsibilities Independent Litigation Management & Claims Support + Manage intake and review of asbestos and other… more
- Highmark Health (Austin, TX)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... + Enter all authorizations into the Argus IPNS information system to allow claim adjudication. + Complete...practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. +… more
- Houston Methodist (Houston, TX)
- …providing guidance to internal clients and acting as the organization's corporate representative in litigation and claims management. This position provides ... claims and litigation strategy, enhancing operations on a system level. + Assists management in generating reports, and...Ability to create a plan for, and execute, accurate claim evaluation + Advanced knowledge and application of case… more
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