- Prime Therapeutics (Austin, TX)
- …Analyst maintains, provides analyses, consults and conducts financial modeling in support of Prime's financial pricing programs and/or underwriting functions. This ... position uses analytics to develop reporting, models and methodologies in support of Prime's financial pricing strategies and assists with high-complexity pricing… more
- AON (The Woodlands, TX)
- …questions, and handling complaints for Debt Cancellation programs + Initiate benefits ( claims ) and process benefit related transactions as well as work cancellation ... inbound calls, top-notch experience based on client parameters. + Initiate benefits ( claims ) and process benefit related transactions as well as work cancellation… more
- Travelers Insurance Company (Richardson, TX)
- …Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to ... optimize claim results. Travelers' Cyber Claim Team is responsible for handling claims focusing on cyber privacy and security breach incident response, computer… more
- Sedgwick (Irving, TX)
- …OF THE ROLE:** To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting ... the claims process, and providing detailed claim notes on all...Provide excellent customer service to external customers and internal support to an assigned team. + Act as a… more
- Insight Global (Dallas, TX)
- …specific customer service requirement to achieve the best possible outcome in the claim - Support the goals of the Claims Department We are a company committed ... client's team. Responsibilities will include managing complex workers' compensation claims , ensuring fair and efficient resolution while maintaining compliance with… more
- Elevance Health (Houston, TX)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How… more
- Humana (Austin, TX)
- …**Required Qualifications** + Bachelors Degree + Minimum of 3 years of medical claims auditing experience (interpreting if claims initially paid correctly in the ... Payment Integrity (formally known as Financial Recovery) experience + CAS claims knowledge + Prior vendor relationship experience/knowledge + Intermediate knowledge… more
- Walgreens (Dallas, TX)
- …billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment in accordance with policy. + Review ... price modify logs and ensure there are corresponding SDL (submit direct link) claims . + Review, research and resolve all third party chargebacks in a timely manner.… more
- Cognizant (Austin, TX)
- …United States. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs. **Location:** ... **Technical Skills** : Proficiency in Excel, payer portals, and claims clearinghouses. + **Accounts Receivables** : AR follow up...office **These will help you stand out** + **Examine Claims ** : Analyze denied and underpaid claims … more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …**Data Integration & Management** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on lab and EHR systems. ... and integration of omnichannel strategies. Provide technical guidance and support to cross-functional teams on data-related projects. + Stay...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more