- Molina Healthcare (San Antonio, TX)
- …in the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program ... of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of… more
- CVS Health (Austin, TX)
- …that align with strategic goals. + **Drive Strategy:** Collaborate with sales, claims , and customer service teams to develop tailored underwriting strategies ... based on market trends and business objectives. + **Mentor & Guide:** Share your expertise by mentoring peers, reviewing work for accuracy, and identifying training opportunities. + **Ensure Compliance:** Conduct audits, track allowances, and ensure all… more
- Kemper (Dallas, TX)
- …work closely with the Regional Sales Directors and collaborate with their Product, Claims , Marketing, and Service counterparts to lay out plans for production, ... expense management, marketing communications and promotions, and agency, territory, and state reviews. They will evaluate processes and make recommendations to improve the customer and agency's experience through ease of doing business. Once strategy is… more
- The Hartford (Houston, TX)
- …will find that we foster personal growth and are all driven to provide excellent customer service to our Claims Partners and insureds. If you have a passion for ... environment where you will have direct contact with our Claims Professionals while working from home! If you join...the practice of law and committed to excellent customer service ! We are looking for a colleague with a… more
- Sedgwick (Austin, TX)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... rapidly growing, industry-leading global company known for its excellence and customer service . + Leverage Sedgwick's broad, global network of experts to both learn… more
- Robert Half Office Team (Plano, TX)
- …Tasks (40%) + Process claims closures and withdrawals, including non-pursued claims . + Monitor and ensure that appraisal service -level agreements (SLAs) are ... of ours is seeking a highly organized and detail-oriented ALD Claims Assistant (Temporary) to join our Claims team. In this crucial role, you will be responsible… more
- Sedgwick (Irving, TX)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- World Insurance Associates, LLC. (Laredo, TX)
- …of advocacy, excellent service , and professional communication + Handling renewals, service requests, claims , billing and new policies + Maintain a thorough ... products and services from major providers, combined with attentive service from local agents. Founded in 2011, World is...from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's… more
- World Insurance Associates, LLC. (Houston, TX)
- …of advocacy, excellent service , and professional communication + Handling renewals, service requests, claims , billing and new policies + Maintain a thorough ... organization offering top products and services from major providers, combined with attentive service from local agents. Founded in 2011, World is one of the… more
- Cargill (Amarillo, TX)
- …transportation and logistics activities around material resource plans for the facilities, claims and incidents, customer service and customer orders contracts. ... + Conduct activities to support the development of relationships to assist with order and shipment changes in order to make the best buy or sell decisions to minimize costs and maximize profits and services. + Handle basic issues and problems under direct… more