- USAA (Plano, 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 Senior - Claims User Experience - Claims Optimization. We… more
- Sedgwick (Dallas, TX)
- …Best Workplaces in Financial Services & Insurance Business Development Director - Casualty Claims (TX & OK) As a Business Development Director at Sedgwick, you'll ... 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
- Cognizant (Austin, TX)
- …claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support...for reviewing medical records when necessary to determine if service rendered was medically appropriate and criteria have been… more
- Towne Park (San Antonio, TX)
- …- 15% Understands and drives business metrics for forecasting, productivity, claims , customer service , and turnover. Ensures all associates accurately ... visitors and guests we proudly serve. Whether providing compassionate service that eases the anxiety of a patient and...Statement(s) - % of Time** Ensures that the guest service experience is delivered exceptionally and consistently on all… more
- Kelsey-Seybold Clinic (TX)
- …Skills** Required: Strong knowledge of HMOPOS and TPA Plan Design and Claims Processing Member Service Representatives must build and maintain productive ... **Responsibilities** Member Service Representatives II-KSPA provide Concierge Service ...to administrative issues related to health plan operations including claims resolution, premium billing, medical benefit interpretation, organization and… more
- DXC Technology (Houston, TX)
- …experiences. We are seeking a **detail-oriented and customer-focused Annuity Analyst - Death Claims ** to support one of our key financial services accounts. In this ... role, you will process annuity death claims with accuracy, empathy, and efficiency. You'll work closely with internal departments and external contacts to ensure… more
- Elevance Health (Grand Prairie, TX)
- …rates of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care ... management policies and procedures. **Minimum Requirements** + Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current,… more
- Elevance Health (Houston, TX)
- …rates of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care ... management policies and procedures. **Minimum Requirements** + Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current,… more
- Elevance Health (Houston, TX)
- …rates of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care ... management policies and procedures, chairs and schedules meetings, as well as presents cases for discussion at Grand Rounds/Care Conferences and participates in interdepartmental and/or cross brand workgroups. + May require the development of a focused skill… more
- Philadelphia Insurance Companies (Houston, TX)
- …to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service , Inc. and First Insurance Company of Hawaii, Ltd.) is ... an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life… more