- WTW (Dallas, TX)
- …administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report. You will ... to improve work processes and methods in pursuit of quality output and service delivery + Role will be working remotely within the posted locations.… more
- The Hartford (San Antonio, TX)
- Claims Consultant FL - CV07GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... we help shape the future. The Hartford Financial Lines Errors & Omissions E&O Claims Group has an open Claim Consultant position handling a caseload of third-party… more
- AssistRx (Dallas, TX)
- DUTIES AND RESPONSIBILITIES: + Processes medical copay claims in accordance with program business rules. + Liaison with other program-specific AssistRx resources to ... daily reconciliation of batch postings, including automated/manual claim inputs. + Analyze claims for accuracy based on insurance coverage, cost of goods, allowable… more
- USAA (San Antonio, TX)
- …to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the ... where our core values - honesty, integrity, loyalty and service - define how we treat each other and...are seeking a dedicated Business Process Owner Lead - Claims User Experience - Claims Optimization. We… more
- BrightSpring Health Services (San Angelo, TX)
- …personnel costs, consultant services, etc + Monitors worker's compensation and unemployment claims for assigned service site(s) + Is proactive in efforts ... + Ensures consumer and guardian participation in development of service plan and personal futures plan + Coordinates development...to reduce claims and minimize risk/exposure of agency in these areas… more
- Kemper (Dallas, TX)
- …office and will work closely with and report directly to the Director of Claims , Arbitration and Subrogation. The Senior Manager will assist the leadership team in ... the development, communication, and execution of the Claims organization's strategic initiatives. The role involves a strong...on Audit, Reporting, as well as Quality and Customer Service Improvements. Some travel may be required. This role… more
- IQVIA (Houston, TX)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will… more
- Conduent (Dallas, TX)
- …part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like to ... audit pharmacy claims for accuracy?** **About the Role** Conduent Payment Integrity...disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic… more
- Humana (Austin, TX)
- …your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a dynamic, ... for identifying, analyzing, and implementing strategies to improve operational efficiency, service quality, and overall performance across the enterprise shared … more
- USAA (San Antonio, TX)
- …to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the ... where our core values - honesty, integrity, loyalty and service - define how we treat each other and...testing new products and capabilities within the auto telematics claims space and helping chart the course for the… more