- Molina Healthcare (Fort Worth, TX)
- …Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of ... healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translates strategic needs into… 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...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Towne Park (Grapevine, TX)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates ... have been adequately trained in safety and loss prevention procedures + Ensures claims are reported timely and accurately and cooperates with the Risk Management… more
- Keurig Dr Pepper (TX)
- …and key stakeholders to identify preventative opportunity areas + Assesses all new claims and immediately engage in those that are serious, questionable, or lost ... on workers' compensation ensuring timely return to work + Partners with claims adjusters, nurse case managers, EHS, Risk Management, managers, and employees and… more
- Sedgwick (Austin, TX)
- …and available resources. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Provides professional and timely responses to incoming catastrophic referral calls from ... the claim. + Maintains communication with the customer, Client Service Director, and Claims Examiner providing timely updates on changes in injured worker status and… more
- Sedgwick (Austin, TX)
- …with information regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair estimate and ... explains claims /repair process + Negotiates advanced fees for tow, tear...preferred (but not required). Licenses as required, as needed. Professional certifications as applicable to line-of-business preferred. If the… more
- Sedgwick (Fort Worth, TX)
- …General Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and… more
- Sedgwick (Irving, TX)
- …you looking for an impactful job that offers the opportunity to develop a professional career? Bring your 1-2 years' experience in an office setting and grow with ... comprehensive benefits package to take care of your mental, physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE** : To analyze reported leave… more
- HUB International (Irving, TX)
- This role requires an individual who is professional and who displays the drive, determination, and self-motivation to build a business. Specifically, your mission ... degree of independent discretion, autonomy, and decision-making + Provides professional , courteous service to our clients, carrier representatives, underwriters,… 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 ... the design of necessary accounting protocols for submission of payment and claims posting activities. . Quickly and accurately answer customer questions; route… more