- Molina Healthcare (Houston, TX)
- …with the Plan's highest priority, high volume, strategic providers to educate, advocate and engage as valuable partners. + Requires an in-depth knowledge of ... setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed… more
- Molina Healthcare (Fort Worth, TX)
- …minimal direction, works directly with the Plan's external providers to educate, advocate , and engage as valuable partners, ensuring knowledge of and compliance with ... **Required Experience** + 2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed… more
- Humana (Austin, TX)
- …impacts, and mitigation planning. **Advocacy and Leadership:** + Market Advocacy: Advocate for the market's technical needs and assist in navigating approvals ... processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations;… more
- ADP (El Paso, TX)
- …primary contact, acting as a liaison, serving as an internal client advocate . + Maintain a comprehensive understanding of your dedicated client's group health ... for benefit service issues such as enrollments, carrier billing, coverage, and claims . + Maintain accurate and up-to-date records of all client interactions,… more
- CVS Health (Austin, TX)
- …and other key personnel. Our TOC Coaches are frontline advocates for members who cannot advocate for themselves. The TOC team will review prior claims to address ... potential impact on current case management and eligibility status. Focus assessments and/or questionnaires are designed to use a holistic approach to identify the need for a referral to clinical resources for assistance in functionality. Additional… more
- Walmart (Waco, TX)
- …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... according to company policies and procedures. + **Be a Talent Ambassador:** Being an advocate for the department and the club by valuing the member's experience in… more
- Walmart (San Marcos, TX)
- …and merchandised according to company policies, including proper handling of claims , returns, shrink, and damages. Presents and maintains merchandise presentation by ... and encourage THE adoption of new tools among team members. Serves as a brand advocate by valuing the member's experience in the TBC area and modeling high quality… more
- Robert Half Legal (Mckinney, TX)
- …on clients' lives. Key Responsibilities: + Manage a caseload of personal injury claims in the pre-litigation stage. + Conduct detailed intake interviews with clients ... insurance companies and opposing parties. + Negotiate settlements effectively to advocate for clients' best interests and facilitate case resolutions. + Collaborate… more
- The Cigna Group (Houston, TX)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales ... **About Cigna Healthcare** Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers… more