- Humana (Austin, TX)
- …by addressing conditions identified during IHWA visits. + Analyze performance and claims data to monitor and inform strategic decisions. + Generate innovative ideas ... + Leverage experience with provider front end and backend operations , workflows, and systems to inform best practices and...+ Proven ability to compare, read, and report on claims data. + Proven ability to conduct causal analysis… more
- Mass Markets (Killeen, TX)
- …companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business ... systems to support customer needs + Accurately document interactions and process claims in internal systems + Engage customers in solution-focused conversations to… more
- Humana (Austin, TX)
- …and auditing experience * Knowledge of healthcare payment methodologies, claims , submissions, and payments * Strong organizational, interpersonal, and communication ... AHFI) * Experience testifying in court * Understanding of healthcare industry, claims processing, and investigative process development * Experience in a corporate… more
- Mass Markets (Killeen, TX)
- …companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business ... to resolve issues when needed + Accurately document and process customer claims in appropriate systems. + Lead fact-finding discussions to determine the best… more
- The Raymond Corporation (Addison, TX)
- …by managing employee relations, leave of absence cases, and unemployment claims , while proactively partnering with supervisors on performance and development plans ... requests and cases, ensuring compliance and employee support. * Respond to unemployment claims and represent the company at appeals. * Utilize HRIS and workflow… more
- Health Care Service Corporation (Richardson, TX)
- …in business testing, business analysis, process improvement,** project management, business operations or relevant health care industry experience * 3 years of ... Member Collaterals + . Provider Credentialing - sCRED application + . Claims Intake process + . Claims Adjudication logic - FACETS application + . EOB + .… more
- Sedgwick (Fort Worth, TX)
- …the activities of other internal departments such as information technology, operations and business development. + Coordinates client invoicing, audits and accounts ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- …efficiency. **Responsibilities** **Ess** **ential functions will include:** + Managing all operations related to manufacturing + Develop and track metrics to ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Kemper (Houston, TX)
- …in our Houston, TX office. This role is central to the daily operations of the district office and is responsible for managing administrative processes, financial ... Salesforce processes. + Communicate with Home Office regarding policy status, claims , and underwriting. **Payment Processing & Balancing:** + Process payments… more
- Zurich NA (Dallas, TX)
- …Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 12 or more years of experience in the Claims or Underwriting Support area + Knowledge of Casualty...to manage complex portfolios + Technical knowledge of insurance operations and functions + Casualty lines experience; CPCU +… more