- Kemper (San Antonio, TX)
- …and state requirements. + Works directly with strategic partners like Product, Claims , and Operations on issues impacting the account. + Performs other duties ... sales/marketing management experience + Extensive knowledge of insurance operations: claims , coverages, products and underwriting is preferable to effectively… more
- Royal Electric (Dallas, TX)
- …documentation including but not limited to submittals, RFI's, delay notices, potential claims , and extended overheads. + Maximize cash flow by balancing project cost ... with timing of project income, facilitating buy outs according to the schedule and project plan with estimating and project teams, understanding labor and material trends, creating balanced and accurate budget and Schedule of Values, submitting billings, and… more
- CVS Health (Austin, TX)
- …Qualifications** + Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and Pharmacy ... Ops + Business process design and development experience using SSMS (Sql Server Management Studio) Agent + SQL job monitoring, troubleshooting and issue resolution with the potential of off hour support + SQL programming, MS PowerShell, Open Query integration… more
- Vistra (Irving, TX)
- …and generating documentation to support tax return filing positions and refund claims + Monitoring federal, state and local tax regulatory and legislative ... developments and assisting with the interpretation of the implications for the company + Assisting the tax controversy team in responding to information document requests and analyzing data + Strategic thinking and problem solving to deliver excellent client… more
- Philadelphia Insurance Companies (Plano, TX)
- …as needed. 10. Interacts and coordinates activities with other departments (eg Claims , Loss Control, Client Solutions, and Accounting). Working in coordination with ... Corporate and other underwriting departments as necessary. 11. Recommends new procedures and programs where warranted. 12. Furnishes intelligence on large account market, including competitor strengths and weaknesses. 13. Responsible for complying with proper… more
- Citizens (Irving, TX)
- …available loss mitigation options, including deferrals, forbearance, loan modifications, partial claims , repayment plans, short sales, or deeds in lieu of ... foreclosure. + Clearly communicate decisions and next steps, including modification approvals or denials, and guide borrowers through alternative solutions when needed. + Financial Discussions: Engage in conversations with borrowers about their financial… more
- Molina Healthcare (San Antonio, TX)
- …Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data regarding utilization and cost ... containment information. + Evaluate, write, and present healthcare utilization and cost containment reports and makes recommendations based on relevant findings. + Oversee development, organization, and ongoing maintenance of data representing a wide range of… more
- Molina Healthcare (San Antonio, TX)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines ... to support ongoing reporting and analytics workflows. + Utilize Databricks and Snowflake to develop scalable data pipelines and analytical datasets. + Create and maintain Power BI dashboards to deliver insights on utilization, outcomes, and cost drivers across… more
- CVS Health (Austin, TX)
- …compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service, and client management-to ensure effective issue ... resolution and maintain strong working relationships. + Stay informed about industry trends, regulatory changes, and best practices related to self-funded plans. **Required Qualifications** + A minimum of 7 years of relevant experience in a TPA (Third Party… more
- Western Digital (Austin, TX)
- …business models + Familiarity with legal guidance for marketing related claims and/or product liability matters + Knowledge of product regulatory matters ... related to hardware or software products SKILLS + Strong proficiency in drafting contracts or writing persuasively for a third-party audience + Attentively listens to others and encourages the open expression of diverse ideas and opinions + Provides timely and… more