- Molina Healthcare (San Antonio, TX)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, or ... of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of… more
- WM (Houston, TX)
- …Provide backup support for SOPs as needed. 6. Class Action Settlement Filings 7. Review class action settlements for WM claims . 8. Collaborate internally to ... **Senior Paralegal & Legal Operations Specialist ** This dual-role position combines advanced paralegal expertise with strategic legal operations responsibilities,… more
- The Hunton Group (Houston, TX)
- …as a resource for loading of labor and materials, a dispatcher, a billing specialist , and a process owner of each contract in assigned territories. The ideal ... for service for authorization, as appropriate to the type of warranty. + Review Request for Service forms from New Equipment Sales for completeness & accuracy;… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …direct oversight of daily coding operations while also performing coding specialist functions. **Requisition ID:** 41973BR **Travel Required:** Up to 25% ... Provide direct oversight, training and guidance to assigned multi-specialty coding specialist teams. Coach, develop and make recommendations to the director… more
- Lewis Tree Service, Inc (Dallas, TX)
- …of town stay. + Must secure ISA Certified Arborist and/or ISA Utility Specialist Certification and/or ISA Certified Tree Worker. Certification after one year. + ... General Foremen and Corporate Safety investigating and settling accident claims quickly, efficiently, and sensitively. 5. Ensures that high-quality arboricultural… more
- Dow (Houston, TX)
- …for aLand and Right of Way Managerlocated inHouston, TX. The Land & Right of Way Specialist will be working as part of the Dow Gulf Coast Pipeline (GCPL) Right of ... land ownership, liens and prior encumbrances. + Negotiate and settle damage claims with landowners and tenants resulting from Dow pipeline construction, operations… more
- Evolent (Austin, TX)
- …adjustment coding team and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review . + Ensure compliance ... Stay for the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager… more
- Austin Industries (Dallas, TX)
- …for construction projects + Report and manage first and third-party insurance claims + Respond to questions relating to owner and subcontractor insurance coverages ... to the construction industry + Experience as an insurance broker, risk management specialist or underwriter relating to the construction industry will be helpful +… more
- AIG (Dallas, TX)
- …the way we help customers to manage risk. Join us as Product Wording Specialist to play your part in that transformation. It's an opportunity to grow your ... and technical guidance to underwriters on policy language. + Review competitor forms and make recommendations to the Global...and align with underwriting intent. + Work with Underwriting, Claims and Legal in drafting new policy forms and… more