- Molina Healthcare (Austin, TX)
- …communicating claims error issues and potential solutions to leadership. * Meets claims department quality and production standards. * Supports claims ... JOB DESCRIPTION Job Summary Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching,… more
- Molina Healthcare (Fort Worth, TX)
- …* Adjudicates or readjudicates claims in a timely manner. * Meets claims department quality and production standards. * Supports claims department ... JOB DESCRIPTION Job Summary Provides support for claims adjustment activities including administering claims payments, maintaining claim records, and providing… more
- Zurich NA (Addison, TX)
- …points of contact including customers, vendors, suppliers, and brokers to provide a quality claims experience. Additionally, you will learn and develop knowledge ... are handled in the most efficient, effective way while delivering a quality customer-centric claims experience. This position will work from one of the following… more
- WelbeHealth (Austin, TX)
- …corrections + Provide feedback to the Oversight & Monitoring Manager on claims processing errors, quality improvement opportunities, and configuration change ... Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate… more
- Zurich NA (Addison, TX)
- …points of contact, including customers, vendors, suppliers, and brokers, to provide a quality claims experience. + Learn and develop knowledge of established ... General Liability Claims Specialist I 129754 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to… more
- Sedgwick (Austin, TX)
- …and documentation standards. + Providing technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for ... Fortune Best Workplaces in Financial Services & Insurance Assistant Claims Team Lead - Workers Compensation Are you looking...Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- Elevance Health (Houston, TX)
- …at least one of the following: AA/AS or minimum of 15 years of experience in claims auditing, quality assurance, or recovery auditing. + Requires at least one of ... Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case… more
- Molina Healthcare (Austin, TX)
- …to claims standard operating procedures (SOPs) and job aids to increase the quality and efficiency of claims processing. * Fields claims questions from ... JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements… more
- Elevance Health (Grand Prairie, TX)
- …Coding Auditor** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all ... of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing. + Requires at least one of the following… more
- Cummins Inc. (Houston, TX)
- …Supervisor. Completes required documentation, such as service worksheets, timesheets, warranty claims , quality documents via handwritten forms or business system ... completion required documentation, such as work completed documentation, time sheets, warranty claims and quality forms, via handwritten forms or business system… more