- Mass Markets (Killeen, TX)
- …to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- NTT DATA North America (Dallas, TX)
- …experience in a Healthcare processing (Provider Data Management preferred, Claims , Credentialing, or other Healthcare Payer/ Provider experience) Preferred ... Skills/Experience: + Experience in Provider Data Management, Provider Credentialing, Medical Claims + 3+ years of experience using a computer with Windows PC… more
- BrightSpring Health Services (Corpus Christi, TX)
- …personnel costs, consultant services + Monitors worker's compensation and unemployment claims for assigned service site(s). Is proactive in efforts to reduce ... claims and minimize risk/exposure of agency in these areas + Other duties as assigned Qualifications + BA/BS in Business, Health Care Administration, or Social… more
- Humana (Austin, TX)
- …in Texas and other states. This is accomplished by analysis and adjudication of claims , appeals, and potential quality of care issues. The Dental Director - Texas ... with review policies, procedures, and performance standards. o Review dental claims consistent with current ADA CDT terminology and current professional standards… more
- Sedgwick (Austin, TX)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Molina Healthcare (Fort Worth, TX)
- …Ability to influence across multiple organizational functions - Payment Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in managing complex ... implement efficient enterprise-wide processes and governance structures that span claims , encounters, clinical, finance and actuarial functions. + Identifies,… more
- Bechtel Corporation (Sugar Land, TX)
- …teams, suppliers, and other BEO functional departments to resolve performance issues, claims , and contractual matters. + Ensure invoices are reviewed in a timely ... contract formation, and administration. + Experience resolving supplier performance issues, claims , and disputes. + Effective communication skills, both oral and… more
- Kemper (Dallas, TX)
- …on assigned cases Aggressively pursues files referred to Staff Counsel by the Claims Department. + Creates and maintains a documented strategy for case handling in ... of pleadings, briefs and memorandums. + Prepares and submits timely status reports to claims handlers on all significant activities as they occur, but at no greater… more
- USAA (Plano, TX)
- …analyze data. **What sets you apart:** + Broad experience and expertise in Claims Investigations to include enabling new or enhanced capabilities. + Familiarity with ... Auto Claims Telematics and application to Investigations + Experience working on highly complex projects and processes that deliver business impact and value. +… more
- Humana (Austin, TX)
- …first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied ... make an impact** **Required Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience in conducting thorough root cause… more