- USAA (Plano, TX)
- …Ability to conduct complex healthcare fraud investigation reviews. + Knowledge of health insurance claims operations, particularly Medicare Supplement ... + Interprets relevant medical literature for application to appropriate health insurance underwriting policies and guidelines. +...advanced medical expertise by serving as primary resource for Health Claims for the approach to medical… more
- Elevance Health (Grand Prairie, TX)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will ... Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,... claims . Health insurance… more
- Elevance Health (Houston, TX)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will ... Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,... claims . Health insurance… more
- UTMB Health (Galveston, TX)
- …Statistics or Biostatistics. + Experience in analyzing health outcomes from health insurance claims data. **Job Summary:** Provides statistical support ... **Galveston, Texas, United States** Executive - Business Professional UTMB Health Requisition # 2500488 **Minimum Qualifications:** Masters degree in Biostatistics,… more
- Baylor Scott & White Health (Dallas, TX)
- …health system technologies (EMRs, virtual health , remote monitoring) and health insurance technologies ( claims systems, network management solutions). ... large healthcare system preferred, including provider services, care support functions, and health insurance functions. 8. Ability to lead cross-functional teams… more
- American Family Insurance - Corporate (Houston, TX)
- You will investigate and maintain property claims . Determine liability, secure information, reviews coverages, arrange appraisals, and settle claims . Travel may ... the Property Claim Manager and handle homeowner property field claims in South Houston, TX area. You must be...benefits that enable you to take care of your health . We also offer a competitive 401(k) contribution, a… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …(United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured, ... adjusters, agents and attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs and monthly bordereau.… more
- CRC Insurance Services, Inc. (TX)
- …(United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured, ... attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs...TPA experience 2. Minimum 2 years' Commercial Auto Liability insurance experience 3. Minimum 2 years' experience handling 1st… more
- Providence (TX)
- …and retain the best people, we must empower them.** **Providence St Joseph Health operates a self-administered claims program for General and Healthcare ... and to fellow caregivers regarding applicable federal, state, and local laws, insurance codes, and regulations relating to liability claims handling, including… more
- Providence (TX)
- …who will:** **Investigate, evaluate, and manage professional, general, and other liability claims under the PSJH Insurance Program:** + Communicate with ... patient safety projects, through the Risk & Integrity Services division and Risk, Claims , & Insurance department **_Providence welcomes 100% remote work for… more