• Legal Counsel

    Samsung SDS America (Plano, TX)
    …advanced supply chain solutions. As Junior Legal Counsel, you will focus on claims management and HR-related legal matters while also supporting contract review and ... other commercial agreements + Handle and manage transportation and cargo claims , including drafting demand letters, settlement agreements, and coordinating with… more
    Samsung SDS America (08/29/25)
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  • Lead Data Technician / Cycle Lead Coordinator

    BrightSpring Health Services (Lubbock, TX)
    …8am - 5pm We offer: DailyPay Flexible schedules Competitive pay Shift differential Health, dental , vision and life insurance benefits Company paid STD and LTD ... Identifies and resolves issues of denials or follow-up of claims . + Maintains current knowledge of Medicaid claim regulations...+ Produces reports and keeps management informed of unpaid claims and claims pending follow-up. + Understands… more
    BrightSpring Health Services (08/26/25)
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  • Associate Director, Commercial Data Management

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... with states and local laws. **Company benefits** : Comprehensive medical, dental , vision, prescription drug coverage, company provided basic life, accidental death… more
    Otsuka America Pharmaceutical Inc. (08/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Grand Prairie, TX)
    …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
    Elevance Health (08/09/25)
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  • Leave of Absence Coordinator

    Sedgwick (Irving, TX)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Leave of Absence Coordinator **Leave of Absence Coordinator** **Our teams connect! ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
    Sedgwick (08/08/25)
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  • Order Management Healthcare

    TEKsystems (San Antonio, TX)
    …- Computer skills (specifically in excel) Desired Qualifications: * Experience with Health Insurance claims , billing, or authorization * Two (2) years of ... to the service organization for device delivery. We meticulously validate both the insurance coverage and clinical status of patients to confirm that: * Therapy is… more
    TEKsystems (09/04/25)
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  • Safety Specialist

    Southland Industries (Carrollton, TX)
    …of status changes. + Assume point-of-contact role with regard to physicians, clinics, insurance provider, and employees with open w/c claims + Request MVRs ... benefits for you and your family: + 401(k) Plan + Competitive Pay + **Medical, Dental , Vision Insurance ** + Term Life, AD&D Insurance , and Voluntary Life… more
    Southland Industries (08/17/25)
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  • Investigator Senior

    Elevance Health (Grand Prairie, TX)
    claims . Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network ... and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying and developing enterprise-wide specific… more
    Elevance Health (08/12/25)
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  • Clin Admin Coord/23/Mco101

    Adecco US, Inc. (San Antonio, TX)
    …medical, dental , and vision benefits Benefit offerings include medical, dental , vision, life insurance , short-term disability, additional voluntary benefits, ... per hour Benefit offerings available for our associates include medical, dental , vision, life insurance , short-term disability, additional voluntary benefits,… more
    Adecco US, Inc. (08/21/25)
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  • Appeals Specialist

    TEKsystems (Houston, TX)
    … follow up, root cause analysis, EHR, EMR, EPIC, Cerner, medical billing, claims audit, appeals process, appeals letter, denials, insurance follow ups Top ... just picking up the phone to communicate and solve problems - determine why claims are denied - determine where to send appeals - determine whether a claim… more
    TEKsystems (09/04/25)
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