- Zurich NA (Houston, TX)
- …AVP, Underwriting Officer or VP Senior Underwriting officer level. The hiring manager will determine the appropriate level based upon the selected applicant's ... Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including an associate… more
- AUI Partners (TX)
- …growth. 2) Inspections: + Report Safety Inspection findings to the Project Manager and Superintendent and ensure recommended changes have been implemented. + Hand ... + Assist HR, Legal and Compliance on Worker Compensation claims and other claims involving the public,...controls in place on assigned projects to the Project Manager and Superintendent + During the Project, conduct overview… more
- Zurich NA (Houston, TX)
- …talent at any Zurich office location. We may, at the sole discretion of the Hiring Manager , be open to hiring remote talent This role will be filled at either the ... Liability Underwriter or VP, Construction Professional Liability Underwriter. The hiring manager will determine the appropriate level based upon the selected… more
- Evolent (Austin, TX)
- …to find the most valuable defects. The IQA reports to a associate director or a manager . One or many IQAs may be engaged in any testing effort **What You Will Be ... risks and issues in coordination with the lead / manager for status reporting + Responsible to enforce department...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- USAA (San Antonio, TX)
- …P&C Property Claims Operations and/or Optimization experience. + 2+ years Manager Claims Operations experience. + Deep operational knowledge of end-to-end ... Property Claims processes. + Demonstrated knowledge of new and emerging...color, religion, sex, sexual orientation, gender identity, national origin, disability , or status as a protected veteran._ **If you… more
- Elevance Health (Grand Prairie, TX)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit … more
- Elevance Health (Houston, TX)
- …Analyst I** is responsible for auditing and facilitating the recovery of claims overpayments as identified by our business partners. Responsible for research, ... overpayments. **How you will make an Impact:** + Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting… more
- Southland Industries (Carrollton, TX)
- …to Brandt's/Southland safety department, with heavy emphasis on workers compensation claims management. **What you'll do:** + Provide administrative support to group ... filing system. + Assist with case management of open claims through to closure; notify safety director of safety... through to closure; notify safety director of safety manager of status changes. + Assume point-of-contact role with… more
- Elevance Health (Houston, TX)
- …SPECIALIST III** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... adjustments. **How you will make an impact:** + Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting,… 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 ... fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately… more