- Providence (TX)
- **Description** **Senior Manager Claims \*Remote * Candidates residing in Alaska, Washington, Montana, Oregon, California, Texas or New Mexico are encouraged to ... apply.** The Senior Manager, Claims role is responsible for management and supervision of...file outcomes of the team in collaboration with key system leadership throughout Providence St. Joseph's Health. Also, the… more
- CVS Health (Irving, TX)
- …** **Key Responsibilities** + Own engineering strategy and execution for commercial claims systems , including routing, adjudication, and operational reporting. + ... teams that support the development, maintenance, and modernization of legacy systems -primarily IBM Mainframe platforms-used for commercial claims routing,… more
- DriveTime (Fort Worth, TX)
- …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... 1 million service contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** **Responsibilities of the Job (Or Better… more
- Mass Markets (Killeen, TX)
- …technology to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, ... globally expanding, industry-leading organization. We are looking forCall Center Claims Representativesto support inbound customer service, help desk, and… more
- NTT DATA North America (Dallas, TX)
- …the potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other ... NTT DATA is currently seeking **Coordination of Benefits Claims Associates** to join our US remote team....school Diploma or equivalent. + 3+ years of medical claims or eligibility experience + 5+ years of experience… more
- NTT DATA North America (Plano, TX)
- …the potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other ... Skills/Experience** + High school Diploma or equivalent. + 3+ years of medical claims or eligibility experience + 5+ years of experience using a computer with… more
- NTT DATA North America (TX)
- …the potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other ... role include:** + High school Diploma or equivalent. + 3+ years of medical claims or eligibility experience + 5+ years of experience using a computer with Windows… more
- NTT DATA North America (TX)
- …the potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other ... role include:** + High school Diploma or equivalent. + 3+ years of medical claims or eligibility experience + 5+ years of experience using a computer with Windows… more
- Humana (Austin, TX)
- …products, or other medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group practice ... management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R) or InterQual + Internal Medicine,… more
- Humana (Austin, TX)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group practice ... management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R) or InterQual + Internal Medicine,… more