- Canon USA & Affiliates (Austin, TX)
- …activities, while serving as a champion for KOL activation and relationship management at strategic sites while serving the needs of patients. Participates as ... and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business,… more
- Prime Therapeutics (Austin, TX)
- …business requirements, system specifications, process flows, process change and/or project management + Provides leadership to the business in the identification and ... is required + 5 years of work experience in business analysis, project management , and/or process improvement to include:##3 years of functional experience in at… more
- Zurich NA (San Antonio, TX)
- …with some of the best talent in the business + Use your risk management , accounting, and/or finance experience to support the needs of our customers + Have ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- Omnicell (Fort Worth, TX)
- …forms and documentation. . Communicate any issues that may arise, including claims disputes. . Oversee development and communication of customer reports. . Partner ... of necessary accounting protocols for submission of payment and claims posting activities. . Quickly and accurately answer customer.... Resolve customer complaints if possible or escalate to management . . Keep cases updated in NetSuite in a… more
- Molina Healthcare (Houston, TX)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... of internal customers as it pertains to other provider network management areas, such as provider contracts. **KNOWLEDGE/SKILLS/ABILITIES** + Oversees receipt of… more
- Sedgwick (San Antonio, TX)
- …Executive General Adjuster - Southwest Region **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss...+ Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently… more
- Sedgwick (Dallas, TX)
- …Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss...+ Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …and implementing procedures to ensure that the business units quality management and compliance program are effective and efficient in identifying, detecting, ... Systems and Risks will be reported periodically to Senior Management through the Management Review process to...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Prime Therapeutics (Austin, TX)
- …including such items as assurance of Service Level Agreement performance in Care Management Centers and Shared Services, assurance of claims accuracy payment/ ... cost solutions that meet the desired outcomes of the customer; general management of the account, including P&L responsibility; and accountability for contract… more
- Elevance Health (Grand Prairie, TX)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... + Maintains accuracy and quality standards as established by audit management . + Identifies potential documentation and coding errors by recognizing aberrant… more