- Molina Healthcare (San Antonio, TX)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Elevance Health (Houston, TX)
- …Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... cash receipts, cash application, claims audits, collections, overpayment vendor validation, and ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Zurich NA (Dallas, TX)
- …have the flexibility to work on a hybrid basis. You will partner with your manager to set a flexible work schedule that supports you, our customers, and our brokers ... be filled at either a Senior or AVP Underwriter level. The hiring manager will determine the appropriate level based upon the selected applicant's experience and… more
- Zurich NA (Dallas, TX)
- …have the flexibility to work on a hybrid basis. You will partner with your manager to set a flexible work schedule that supports you, our customers, and our brokers ... at either an Excess Casualty Underwriter Level II or III. The hiring manager will determine the appropriate level based upon the selected applicant's experience and… more
- HCA Healthcare (Mckinney, TX)
- …Summary and Qualifications** Billing Specialist PHY GENERAL SUMMARY OF DUTIES: Processes claims electronically to insurance carriers. Mails claims to carriers ... charges to accounts. Communicates any charge related issues to Charge Master Manager /Analyst. SUPERVISOR: Practice Manager /Billing Manager DUTIES INCLUDE BUT… more
- Travelers Insurance Company (Austin, TX)
- …Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc. ... is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim… more
- Bank of America (Addison, TX)
- …**Position Summary:** + Technology architecture and design of the Claims Technology capabilities. + Stability, resiliency, performance, and disaster recovery ... strategy/plans/testing of the Claims platform + Alignment of technology strategy to enterprise...offered a role with Bank of America, your hiring manager will provide you with information on the in-office… more
- Elevance Health (Houston, TX)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CDM Smith (San Antonio, TX)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- Zurich NA (Houston, TX)
- …office in New York or Houston. We may, at the sole discretion of the Hiring Manager , be open to basing the role out of other ZNA office locations. While this ... on a hybrid basis. You will partner with your manager to set a flexible work schedule that supports...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more