- Sedgwick (Fort Worth, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Business Development Director - Casualty Claims (TX & OK) As a Business Development ... those needs. **QUALIFICATIONS** + Ten (10) years of relationship building in the claims management or risk management area or equivalent combination of education and… more
- Centene Corporation (Austin, TX)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Director , Workforce Management serves as a business leader who will be ... managing, and owning workforce management strategy, process, and execution for claims . Will focus on tactical and strategic plans, capacity planning, quality,… more
- Wells Fargo (San Antonio, TX)
- **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Director to report to the Head of Claims and Recovery. This group is responsible for ... end-to-end claims processing for all dispute types. This individual will...types. This individual will lead the ATM, Debit Card Claims (ADCC) team of approximately 2,000 employees, located in… more
- Humana (Austin, TX)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Austin, TX)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- USAA (San Antonio, TX)
- …. Relocation assistance **is** available for this position. **Architect the Future of Claims with Scalable AI and Advanced Analytics-In Service of Those Who Serve** ... & Casualty is seeking a strategic and technically skilled Director of Data Science to lead innovation for the... of Data Science to lead innovation for the Claims organization. This high-impact role goes beyond analytics-your work… more
- Molina Healthcare (San Antonio, TX)
- …Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility from ... processed in accordance with local Health Plan requirements * Works with Claims , Configuration, Contracting, Provider Data Management, and other business partners to… more
- Rexel USA (Dallas, TX)
- …to troubleshoot claims issues + Assist in settlement negotiations on all claims in liaison with Director , Risk Management, Legal, Outside Counsel, and ... and processes to control the cost of insurance and claims . What You'll Do + Provide best practices in...Management of third-party administrator for all RHUSA workers compensation claims + Liaise with National Safety Manager on Workers… more
- USAA (Plano, TX)
- …dedicated Director Business Process Ownership - Advanced Capabilities - Claims Optimization. This role is remote eligible, however, individuals residing within a ... efficient and effective processes. **What sets you apart:** + Demonstrated P&C claims technical acumen + Demonstrated knowledge of new and emerging industry… more
- USAA (Plano, TX)
- …apart: + P&C Claims Operations and/or Optimization experience. + 2+ years Director , Claims Operations experience. + Demonstrated P&C Claims technical ... acumen. + Deep operational knowledge of end-to-end claims processes. + Ability to drive results through others across a matrixed environment or cross-functional… more