- Humana (Austin, TX)
- …in compliance with review policies, procedures, and performance standards. o Review dental claims consistent with current ADA CDT terminology and current ... caring community and help us put health first** The Dental Director is responsible for providing clinical oversight to...states. This is accomplished by analysis and adjudication of claims , appeals, and potential quality of care issues. The… more
- Highmark Health (Austin, TX)
- … management skills + Knowledgeable in enrollment and billing, claims , and telephone customer service and written correspondence processes and applications ... **Company :** United Concordia Dental **Job Description :** **JOB SUMMARY** MUST BE...supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within Data Enablement (DE) for Business Analysis (BA) is accountable for strategically ... responsible for providing strategic insight and ensuring smooth day-to-day data lifecycle management processes and activities for data assets as follows: + Providing… more
- Elior North America (Houston, TX)
- …Unit Management , Segment Leadership, and Human Resources to drive efficient claims management and reinforce workers' comp policies and procedures. + Track, ... with Elior North America's expectations and best practices in workers' compensation case management . + **Analyze workers' comp claims data** to identify trends… more
- Sedgwick (Irving, TX)
- … supervisory experience preferred. **Skills & Knowledge** + Thorough knowledge of claims management procedures and processes for disability + Excellent oral ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles, reviews, and analyzes management reports… more
- Samsung SDS America (Plano, TX)
- …operations. This dual-function role combines strong innovation project leadership and claims management expertise, focusing on warehouse optimization and ... Promote a culture of continuous improvement and innovation across all warehouse operations. Claims Management : + Manage and lead the team responsible for… more
- Sedgwick (San Antonio, TX)
- …information that meets both the internal and external customer's requirements accurately into the claims management system. + Assigns new claims to the ... + A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. **Skills & Knowledge**...Knowledge** + Knowledge of medical terminology + Understanding of claims management + Excellent oral and written… more
- Sedgwick (Irving, TX)
- …on state regulations. **Experience** Three (3) years of benefits or disability case/ claims management experience or equivalent combination of education and ... Ave West Hills, CA 91304 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable… more
- Sedgwick (Houston, TX)
- …as applicable to line of business preferred. **Experience** Five (5) years of claims management experience or equivalent combination of education and experience ... - Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims … more
- Humana (Austin, TX)
- …in determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep… more