- Walmart (Waco, TX)
- …to address audit findings Validates claim records work with workers compensation case managers for investigation of claims Asset Protection Security Possesses ... jury duty, and voting. Other benefits include short-term and long-term disability , company discounts, Military Leave Pay, adoption and surrogacy expense… more
- Chevron Corporation (Houston, TX)
- …+ Certified Case Manager (CCM) credentials or similar case management credentials. + Certified Disability Management Specialist (CDMS), Certified Leave ... cases (ie co-morbidities, stress & psychiatric illness & injury, claims of employees with a history of adverse action)...+ Minimum of 5 years of experience in medical case management or disability claim management. +… more
- Elevance Health (Houston, TX)
- …Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including ... case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients.… more
- Sharecare (Austin, TX)
- …days of training. PTO needs during the training period will be evaluated on a case by case basis and must be approved in advance._ **Compensation:** $22.00/hour ... eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status,… more
- CDM Smith (Fort Worth, TX)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...identity or gender expression), national origin, age, marital status, disability , veteran status, citizenship status, genetic information or any… more
- USAA (San Antonio, TX)
- …P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager , Claims Operations experience. + Deep operational knowledge of end-to-end ... assistance is not available for this position. **These positions will support Claims Litigations.** **What you'll do:** + Develop and implement strategic customer… more
- CenterWell (Austin, TX)
- …Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex ... factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Southland Industries (Carrollton, TX)
- …first report of injury. Set-up and maintain w/c claim filing system. + Assist with case management of open claims through to closure; notify safety director of ... Brandt's/Southland safety department, with heavy emphasis on workers compensation claims management. **Position Details** + Provide administrative support to...safety manager of status changes. + Assume point-of-contact role with… more
- OneMain Financial (Fort Worth, TX)
- …the general direction and guidance of HR leadership and Legal + Process State Disability Claims as necessary. + Ensure compliance with state and federal leave ... **Job Description Summary** Reporting directly to the Health and Welfare Benefits Manager , this position is responsible for coordinating employee lave program in… more
- Elevance Health (Rockwall, TX)
- …The **LTSS Service Coordinator-RN** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to ... non-RN clinicians participating in the member's case in accordance with applicable state law and contract;...+ May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the… more