- UTMB Health (Galveston, TX)
- …Affairs **Galveston, Texas, United States** **New** Legal & Compliance UTMB Health Requisition # 2504693 **Minimum Qualifications:** Bachelor's Degree in Nursing or ... programs, clinical issues, device and equipment, incident management, and claims /lawsuits. **Job Duties:** + Administrative liaison for Risk Management issues.… more
- BrightSpring Health Services (Grand Prairie, TX)
- …8am - 5pm We offer: DailyPay Flexible schedules Competitive pay Shift differential Health , dental, vision and life insurance benefits Company paid STD and LTD ... milligrams) + May resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current knowledge of Medicaid… more
- Highmark Health (Austin, TX)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... industry regulatory changes and assess their potential impact on Claims Operations, Customer Service and other operational areas processes...and investigations + 3 - 5 years in the Health Insurance Industry + 3 - 5 years the… more
- Kemper (Dallas, TX)
- …Arbitration Specialist at Kemper plays a critical role in resolving claims and handling intercompany arbitration cases. This position involves reviewing subrogation ... demands, and moving claims to successful resolution. Additionally, the specialist will respond...enjoy great benefits:** * Qualify for your choice of health and dental plans within your first month. *… more
- Kemper (Dallas, TX)
- …negotiation skills? Kemper is looking for experienced Represented Bodily Injury Claims Adjusters for our growing teams! This specialized position focuses solely ... on the analysis & negotiation of bodily injury claims that are ordinarily assigned after the initial coverage...enjoy great benefits:** * Qualify for your choice of health and dental plans within your first month. *… more
- The Hartford (San Antonio, TX)
- …of key processes, continuous improvement initiatives, and changes in trends in Claims . The individual will perform diagnostic analytics to identify underlying causes ... trend change. The individual will partner with teammates in Claims Strategy and Optimization, Claims Performance Analytics,...world? What else can we do to destigmatize mental health in the workplace? Can we make our communities… more
- Banner Health (TX)
- …with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work(R) Certification (TM) . This recognition ... Find out how we're constantly improving to make Banner Health the best place to work and receive care....to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials… more
- Elevance Health (Grand Prairie, TX)
- …requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance ... Microsoft Excel experience. + Facets systems knowledge considered a plus. + Claims and/or Encounters experience preferred. + Experience with Medicaid data preferred.… more
- Toyota (Plano, TX)
- …North American region, processing insurance requests, creating/updating analytical reports, claims management, providing risk management support, and consultation to ... any materials for presentation to various audiences. + Manage insurance program claims activities (ie, collection of claim detail information from business unit for… more
- CVS Health (Austin, TX)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...organizational and decision-making skills. + Provide technical expertise in claims adjudication, business rules, network structures, and testing support.… more