- CVS Health (Austin, TX)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... prepares cases for clinical and legal review. + Documents all appropriate case activity in case tracking system. + Prepare written case summaries and make referrals to State and Federal Agencies within the timeframes required by Law. + Facilitates the recovery… more
- CVS Health (Austin, TX)
- …routine nature. + Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc + Maintain department ... established performance metrics at a meets or exceeds expectations level + Work together as a team and apply the Aetna Core Values in day-to-day operations + Creating a Differentiated Service Experience + Demonstrating Service Discipline + Handling Service… more
- ExxonMobil (Houston, TX)
- …free trade agreements, foreign and free trade zones, bonded storage and movement, drawback claims , and the like + Reduce risk and drive volume cost benefit through ... globally optimized broker and freight forwarder coverage network + Develop, sustain, and improve standardized global customs operating procedures, including special customs procedures, that improve efficiency and reduce operational risks **About you** **Skills… more
- CVS Health (Austin, TX)
- …that align with strategic goals. + **Drive Strategy:** Collaborate with sales, claims , and customer service teams to develop tailored underwriting strategies based ... on market trends and business objectives. + **Mentor & Guide:** Share your expertise by mentoring peers, reviewing work for accuracy, and identifying training opportunities. + **Ensure Compliance:** Conduct audits, track allowances, and ensure all financials… more
- iHeartMedia (San Antonio, TX)
- …to detail. + Tracking and organizing files related to non-litigation claims . **Contract Management** + Assist in drafting and updating high-level employment ... contracts. + Work within company's HRIS system (Workday), and contract management system (Icertis) to track contracts and approvals, and ensure timely renewals or contract terminations. **Litigation Support** + Organize and maintain case files in internal… more
- Texas Tech University Health Sciences Center - Lubbock (Lubbock, TX)
- …am To 7:00 pm + Keeping and maintaining appropriate records, reports, claims and correspondence necessary in connection with all professional services performed by ... the physician. + Other duties as assigned by the Hospitalist Medical Director. **Grant Funded?:** No **Pay Grade Minimum:** Salary commensurate with related education, experience and/or skills **Pay Basis:** Monthly **Schedule Details:** 24/7 coverage of… more
- AIG (Milano, TX)
- …close co-ordination with AIG subject matter experts and robust reviews of claims history and general company information. + Your relationships with brokers will ... be key to your success. You will need to provide excellent service to brokers through a consistent, timely, and proactive approach to underwriting. You will also aim to generate new business by expanding your broker network, attending broker events, and… more
- International (San Antonio, TX)
- …focusing on delivering high-quality solutions* Relies on evidence to back claims and maintains high standards* Thinks independently, makes clear decisions, and ... works across domains and departments* Aligns project details with strategic goals for short- and long-term success* Collaborates well and resolves conflicts effectively* Supports a culture of well-managed transparency, trust, and experimentation* Is passionate… more
- Molina Healthcare (Fort Worth, TX)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... Qualifications** **REQUIRED EDUCATION** : HS Diploma or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment… more
- CVS Health (Austin, TX)
- …provider issues, benefit questions, care coordination, member eligibility and claims . + Coordinate vendor participation in onsite vaccine administration. Maintain ... provider directories and assist client concerns regarding appropriate care. + Maintain client microsite. Manage member communication strategy by reviewing instructional and marketing materials related to the client's plan. **Required Qualifications** + 2+… more