- The Hartford (San Antonio, TX)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... team as we help shape the future. As a Claims Specialist , you will be responsible for...you will be responsible for handling a caseload of complex , high exposure, auto and general liability claims… more
- Sedgwick (Austin, TX)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and ... work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all … more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Pharmacy Services Specialist 2 communicates with members, providers, and clients to explain Health Plan pharmacy benefits, assist with ... understanding the prior authorization process, and resolve claims processing and eligibility issues while adhering to department...causes and address concerns. In addition, the Pharmacy Services Specialist 2 serves in a leadership capacity as a… more
- Sedgwick (Austin, TX)
- …Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research, resolve, and ... respond to complex technical EDI issues or questions received from internal...to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI… more
- Otsuka America Pharmaceutical Inc. (Abilene, TX)
- …everyday health. In its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, ... to improve patient care and provide a superior experience. The Neuroscience Specialist will report directly to the respective Area Business Lead, coordinating with… more
- Sedgwick (San Antonio, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Specialist **PRIMARY PURPOSE** : To enhance the ADA process for claimants ... requesting accommodations under the ADAAA; to review complex medical information for temporary and permanent accommodation requests; and to approve and/or negotiate… more
- KPH Healthcare Services, Inc. (Longview, TX)
- …to address claims challenges and improve revenue cycle. + Escalate complex or uncollectible accounts to management for further action. + Submit appeals/claim ... **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** +… more
- Sedgwick (San Antonio, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Housing Specialist - Remote **PRIMARY PURPOSE:** Booking and extending Airbnb reservations in a ... or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education… more
- Molina Healthcare (San Antonio, TX)
- …accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard deals, ... negotiations. Minimal ongoing engagement after contract. Synchronizes data among multiple claims systems when applicable, and the application of business rules as… more
- Bechtel Corporation (Houston, TX)
- …Job Summary: Bechtel Global Logistics (BGL) is seeking a project Senior Logistics Specialist based in Houston to support the Natrium project. The Logistics ... Specialist will be responsible for domestic and international multi-leg...commercial role supporting a moderate/large sized project with a complex scope as a deployed, dedicated resource in the… more