- USAA (San Antonio, TX)
- …P&C Claims Operations and/or Optimization experience. + 2+ years of MCO ( Manager , Claims Operations) experience. + Deep operational knowledge of end-to-end ... effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. **What you have:**...claims processes. + Demonstrated knowledge of new and emerging… more
- Elevance Health (Grand Prairie, TX)
- …Auditor II is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + ... Examines claims for compliance with relevant billing and processing guidelines...concern. + Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.… more
- Hirschbach Motor Lines (Fort Worth, TX)
- …situations as they occur or on the next business day. + Working with the Claims Administrator and Risk Manager to effectively and efficiently handle OS&D ... cargo/freight-related event, which would otherwise place the organization at risk financially with a customer or in a court...equipment and cargo are secure. + Communicating with the Claims Administrator for actual or potential cargo claims… more
- Elevance Health (Grand Prairie, TX)
- …Auditor II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + ... Examines claims for compliance with relevant billing and processing guidelines...concern. + Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.… more
- EMCOR Group (Manchaca, TX)
- …monthly overhead expenditures to justify and/or correct budget variances. + Prepare monthly insurance loss runs and status of existing claims to determine ... as needed and ensure that changes in labor rates, insurance rates and tax rates are communicated timely and...vendors and suppliers and coordinate vendor negotiations with Purchasing Manager for inclusion of terms and discounts. + Coordinate… more
- AUI Partners (TX)
- …gather material and evidence for use in hearings, lawsuits, workers' compensation claims , and insurance investigations. + Ensure Incident Reporting is completed ... Inspections: + Report Safety Inspection findings to the Project Manager and Superintendent and ensure recommended changes have been...+ Assist HR, Legal and Compliance on Worker Compensation claims and other claims involving the public,… more
- Evolent (Austin, TX)
- …the manage and report risk , issues, and decisions with the lead / manager + Responsible to attend and if required, lead test team meetings for technical testing ... The IQA reports to a associate director or a manager . One or many IQAs may be engaged in...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- Rexel USA (Dallas, TX)
- …disability plans + Maintain employee benefit files related to LOA and disability claims , electronic or hard copy + Process all Short and Long-Term Disability ... policies/laws to prevent overpayments + Work with the Benefits Manager to assist with the ADA accommodation processes +...state and other forms related to leave of absence claims , verification of employment, child support orders, and other… more
- Sedgwick (Farmers Branch, TX)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Customer Service Representative - In office Dallas, TX...world's most reputable brands + An assigned mentor and manager who will guide you on your career journey… more
- WTW (Dallas, TX)
- …(NA) team as a Property & Casualty (P&C) Director/Senior Director in our Insurance Consulting and Technology (ICT) practice. In this role, you will work beside ... and approaches including: + How they can better match risk to capital + Understanding and responding to the...path for growth. With a deep understanding of the insurance industry, we combine data, analytics, and technology to… more