- Public Storage (Plano, TX)
- …**Job Description** We currently have an exciting opportunity for a **Workers' Compensation Claims Manager** to join our Risk Management team based in Plano, TX. ... This individual will be responsible for administering the insurance claims process for corporate-wide workers' compensation with the objective of closing each claim… more
- Elevance Health (Grand Prairie, TX)
- …unit/brand as appropriate regarding approved interventions such as recovery of overpayment, pre-payment audit of claims or putting providers on notice. + Trains ... + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
- Zelis (TX)
- …We are seeking a detail-oriented and technically skilled analyst to support healthcare claims repricing and data validation efforts. In this role, you will be ... responsible for analyzing claims processed through our modeling systems, validating pricing accuracy...SQL queries (joins, CTEs, subqueries) to extract, manipulate, and audit claim data. + Evaluate pricing scenarios based on… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …(United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured, ... adjusters, agents and attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs and monthly bordereau.… more
- CRC Insurance Services, Inc. (TX)
- …(United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured, ... adjusters, agents and attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs and monthly bordereau.… more
- Sysco (Houston, TX)
- …is responsible for auditing parcel/specialized carrier shipping activity, invoicing and claims . Ensure timely pricing updates, billing accuracy and claims ... and resolving discrepancies while working with separate divisions. + Ensure timely audit of assigned vendor's invoices with continued emphasis on validation and… more
- Wells Fargo (San Antonio, TX)
- …is seeking a Head of Fraud Prevention and Partnership (M5) within Fraud and Claims Management. **In this role, you will:** + Provide vision and set direction for ... execution and management of a risk based fraud and claims program across the enterprise with significant risk and...with cross channel business leaders, as well as legal, audit , and multiple US or non US regulators to… more
- Trustmark (Austin, TX)
- …communities. **About the role** This role is a dedicated training position for Claims that resides in the Knowledge Management & Customer Experience group. The ... primary function of this role is to train and audit new and existing staff in all products including...claim handling process and procedures and experience in handling claims appropriately in accordance with the corporate claim philosophy,… more
- Amazon (Austin, TX)
- …The Program, Project, Product, and Vendor Management Team within Amazon's Logistics Claims Management and Operations group is seeking a motivated and experienced ... The ideal candidate will be familiar with insurance and claims programs, and insurance policies, have a history of...Bachelor's degree or equivalent - 6+ years of compliance, audit or risk management experience - Knowledge of Microsoft… more
- Prime Therapeutics (Austin, TX)
- …combined pharmacy and PBM experience to include:##1 year of work experience in claims processing in an operations, audit or quality assurance environment##1 year ... for recoupment of audits and investigations performed by the Pharmacy Audit Operations and Special Investigations Unit (SIU) teams. **Responsibilities** + Perform… more