- AECOM (Dallas, TX)
- …+ Work with management and staff to resolve pre-litigation disputes and potential claims + Manage various types of litigation matters and claims utilizing ... experience at an engineering, architecture or construction company + Claims /litigation handling, including management of outside counsel, relating to architecture,… more
- CVS Health (Austin, TX)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- AUI Partners (TX)
- …As soon as possible + Assist HR, Legal and Compliance on Worker Compensation claims and other claims involving the public, vehicles, utilities, and equipment. + ... gather material and evidence for use in hearings, lawsuits, workers' compensation claims , and insurance investigations. + Ensure Incident Reporting is completed and… more
- NTT America, Inc. (Houston, TX)
- …per the requirement and according to defined business rules of new claims processing platform. + Evaluation of Configuration Requirement and Formulation of ... system + Support activities to update configuration within the core claims processing system, typically within the areas of Provider Pricing. Potential… more
- Baylor Scott & White Health (Plano, TX)
- …investigates to evaluate patient harm. If organizational risk is found, the Corporate claims manager will review the event further. The CRM will help conclude on ... patient complaints or incidents. Works to resolve issues before they become liability claims . + Receives information from team members who manage complaints and the… more
- UTMB Health (Galveston, TX)
- …programs, clinical issues, device and equipment, incident management, and claims /lawsuits. **Job Duties:** + Administrative liaison for Risk Management issues. ... risk management programs for device and equipment, incident management and claims /lawsuits. + Keeps lines of communication open with directors, managers, physicians,… more
- AUI Partners (TX)
- …and tool inspections. + Investigate accidents, incidents, and worker compensation claims , ensuring timely and effective resolution. + Coordinate and conduct safety ... assigned objectives. + Assist the Safety Supervisor/Safety Team on Worker Compensation claims and other claims involving the public, vehicles, utilities and… more
- CVS Health (Austin, TX)
- …Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive claims research on ... origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability , protected veteran status, or any other characteristic protected by… more
- CDM Smith (Fort Worth, TX)
- …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...identity or gender expression), national origin, age, marital status, disability , veteran status, citizenship status, genetic information or any… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …including governmental and private payors; accreditation-related issues; false claims ; tax; anti-trust; tissue or organ transplantation; collections; risk ... and management of potentially compensable events and malpractice or negligence claims ). + Ensure all aspects of the University's medical, podiatric, and… more