- The Cigna Group (Houston, TX)
- …**Candidate will be required to live in the Houston, TX area** The ** Manager , Provider Contracting Network Management** serves as an integral member of the Provider ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more
- Travelers Insurance Company (Fort Worth, TX)
- …Subrogation Unit . + Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense ... insured, agent and all other internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or… more
- Howmet Aerospace (Waco, TX)
- …sales report, returned product credit processing, researching and resolving trade management claims , processing credit card payments and order releases - all in ... Accounting and Controller(s), including but not limited to balance scorecards, resource unit charges, sales tax report, select financial data report, and workers'… more
- Molina Healthcare (Houston, TX)
- …working collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Services functions ... when providers have issues or complaints (eg, problems with claims and encounter data, eligibility, reimbursement, and provider website). *… more
- UTMB Health (Galveston, TX)
- …These are agreed upon during the creation of a new posting with the hiring manager . They need to be verifiable. ( Example: Masters Degree, 5 years of experience ) ... Specialist will be responsible for billing all third party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital … more
- CDM Smith (San Antonio, TX)
- **42205BR** **Requisition ID:** 42205BR **Business Unit :** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster ... fraud claims . This role is critical in evaluating and analyzing...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- Elevance Health (Grand Prairie, TX)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual… more
- Zurich NA (San Antonio, TX)
- …level OR Contract Surety Senior Underwriting Officer, VP level. The hiring manager will determine the appropriate level based upon the selected applicant's ... client networks as related to industries underwritten by Business Unit . + Contribute to development of u/w manuals, programs...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Elevance Health (Grand Prairie, TX)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual… more
- Zurich NA (Dallas, TX)
- …be filled at either the Account Executive or Senior level. The hiring manager will determine the appropriate level based upon the selected applicant's experience and ... client networks as related to industries underwritten by Business Unit . + Contribute to development of u/w manuals, programs...and 6 or more years of experience in the Claims or Underwriting Support area + Zurich Certified Insurance… more