• Workers Compensation Program Manager

    Elior North America (Houston, TX)
    …compensation claims ** data to ensure accuracy and compliance. + Support the **Return-to-Work program** , facilitating employee reintegration and meeting all ... members. As part of our Risk Management team, you'll support a company that serves millions of meals daily...Manager to help us effectively manage, investigate, and resolve claims . In this role, you'll develop strategies and action… more
    Elior North America (08/14/25)
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  • Insurance Risk Management Specialist

    Rexel USA (Dallas, TX)
    …compensation claims + Liaise with National Safety Manager on Workers Compensation claims analysis in support of Safety and prevention initiatives and OSHA ... and processes to control the cost of insurance and claims . What You'll Do + Provide best practices in...Legal, Outside Counsel, and Finance + Participate in quarterly claim reviews and best practice audits with Third Party… more
    Rexel USA (07/30/25)
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  • Disability Representative

    Sedgwick (Irving, TX)
    …naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes ... professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability...curriculum. + An assigned mentor and manager that will support and guide you on your career journey. +… more
    Sedgwick (08/15/25)
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  • Remote Operations Administrative Assistant

    Sedgwick (San Antonio, TX)
    …accuracy and integrity of the hotel billing process while providing critical support for housing placement operations during after-hours. This role is essential to ... maintaining Sedgwick's 24/7/365 housing support model by auditing, troubleshooting, and facilitating timely resolutions...and partial stays. + Audit hotel folios and related claims for billing accuracy, compliance, and documentation. + Investigate… more
    Sedgwick (08/23/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Dallas, TX)
    …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... for all PI solutions. + Lead efforts to improve claim payment accuracy, claim referrals, adjustment analysis...to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partner with… more
    Molina Healthcare (08/14/25)
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  • Quality Team Lead - Workforce Absence

    Sedgwick (Dallas, TX)
    …develops colleagues, identifies, and manages needed training, and monitors individual claim activities for trends and improvements; provides guidance and support ... emphasis for deeper analysis. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Provides support , feedback, and guidance concerning daily operations and audit activity… more
    Sedgwick (08/08/25)
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  • Branch Support Specialist

    Allied Universal (Corpus Christi, TX)
    …files associated with the program + Assist with the workers' compensation claims management by issuing and obtaining claim paperwork, collecting statements, ... plan, employee assistance programs, company discounts, perks, and more. **Branch Support Specialist** **Corpus Christi** Allied Universal(R) is hiring a Branch … more
    Allied Universal (08/13/25)
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  • Senior Manager, Commercial Major Loss

    Kemper (Dallas, TX)
    …technical support for establishing appropriate reserves for new and ongoing claim investigations. + Provide technical support for the interpretation of ... and exposure assignment of newly reported losses to appropriate Claims Adjusters. + Periodically review exposures and pending inventory...support to ensure that all aspects of the claims handling process a conducted correctly. + Assist with… more
    Kemper (08/15/25)
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  • Payment Integrity Program Manager - Health Plan

    Molina Healthcare (Fort Worth, TX)
    …and financial outcomes for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance ... thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partners with Network to… more
    Molina Healthcare (08/14/25)
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  • Sr VP Medical Director (Hourly)

    Sedgwick (Austin, TX)
    …based criteria; to provide leadership within the dedicated team of clinician and claim professionals in support of the dedicated program through training and ... implementation of medical best practices; and to provide client facing support when needed for additional services supporting Human Resources with ADAAA and FMLA … more
    Sedgwick (08/22/25)
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