- CRC Insurance Services, Inc. (TX)
- …**Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Manages and evaluates General ... Liability claims affecting primary and excess policies in a fast-paced...assigned. **QUALIFICATIONS** **Required Qualifications:** The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable… more
- Cognizant (Dallas, TX)
- …primary focus will be supporting traditional risk management functions such as claims management, insurance, renewal process, safety, contract review and ... between CTS entities, brokers and insurers around the world 2.Manage certain claims arising under these policies by: a)Working with internal stakeholders (finance,… more
- Caris Life Sciences (Irving, TX)
- …The Accounts Receivable Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid and Commercial insurance companies. This role ... and submitting required documentation to payors. **Job Responsibilities** + Review insurance denials and take appropriate action. + Check... insurance denials and take appropriate action. + Check claims status via phone or poral. + Submit Medical… more
- Highmark Health (Austin, TX)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- Towne Park (San Antonio, TX)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls ... Maintains timely rhythms and transparency with Area/District Manager. Establishes rhythms to review compliance to standards for their account. - 10% Ensures that the… more
- Texas Health Resources (Fort Worth, TX)
- …affecting the quality of care and outcomes. * Makes medical staff quality review referrals as appropriate. * Utilizes statistical and other methods to aggregate, ... implement identified needs for improvement. * Serves as risk management representative for committees within the Continuous Quality/Patient Safety and Risk… more
- The City of Houston (Houston, TX)
- …procedures, as requested. + Attends meetings, seminars, and conferences as a representative of the department/division. + Acts as liaison between the injured ... with the following skillset(s): Previous experience adjusting workers' compensation claims and/or previous experience in Risk Management, including but not… more
- DriveTime (Fort Worth, TX)
- …to resolve complaints and identify negative trends within the network. + Create, review , audit, and submit invoices for payment to our recovery vendors for ... all inbound calls in a timely manner + Handle customer complaint claims resulting from repossession activity through customer calls, research, and appropriate vendor… more
- Stantec (Plano, TX)
- …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project ... Development and maintenance of the Project Risk Register, based on review of contract conditions, project-specific delivery requirements, client characteristics, and… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more