- Sedgwick (Dallas, 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
- 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)
- …what truly makes us special and impactful. **The Opportunity** As a dedicated Director of Business Process Ownership, you will oversee a team of business ... professionals that are responsible for the end-to-end aspects and overall ownership of assigned processes. Guide team members to collaborate with enterprise partners in the facilitation and development of business rules, gathering of requirements, artifacts… 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 (San Antonio, TX)
- …and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information Management, ... and long-term strategy and vision of the assigned sub-functions for the CoSA Claims working with peers to set objectives across the different sub-functions that… more
- USAA (San Antonio, TX)
- …truly makes us special and impactful. **The Opportunity** As a dedicated ** Claims Litigation Manager Senior** (Western States), you will responsible for managing ... colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts...and policies. + May serve as assistant to the Director of Litigation Operations and assigned to work on… more
- Zurich NA (Austin, TX)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our Complex ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more