- Elevance Health (Grand Prairie, TX)
- …of benefit programs management with heavy emphasis in negotiation preferred. + Health insurance , law enforcement experience preferred. + Pharmacy technician ... to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim...healthcare investigations that may impact more than one company health plan, line of business and/or state. + Effectively… more
- Highmark Health (Austin, TX)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... data relevant to the handling of all types of complex adjusted claims ; conducting reviews of all organizational or functional activities related to fraud/abuse… more
- Fun Town RV (Amarillo, TX)
- …field is a plus. Benefits + Competitive salary and potential performance bonuses + Health , dental, and vision insurance + 401(k) with company match + Paid ... Administrator is responsible for managing all aspects of warranty claims in the dealership. This role ensures that warranty... in the dealership. This role ensures that warranty claims are processed accurately and in a timely manner,… more
- Elevance Health (Grand Prairie, TX)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches...dealing with Healthcare Fraud Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Travelers Insurance Company (Houston, TX)
- …practices, techniques, costs and contract structure. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including ... for providing expert engineering services that assist in the resolution of environmental claims and coverage disputes. This job does not manage staff. As of the… more
- Fresenius Medical Center (Abilene, TX)
- PURPOSE AND SCOPE: Explores, recommends, and coordinates the insurance and potential financial assistance options available to kidney dialysis patients in a ... patients at the clinic(s) in the assigned region to educate and coordinate insurance options: + Educates on the availability of alternative insurance options… more
- Centene Corporation (Austin, TX)
- …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... Purpose:** Manage all activities and personnel within the **Superior Health Plan Claims Operational Auditing Department for Market Place** . Work closely… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Responsible for ensuring accurate billing for timely submission of claims , monitoring claim status, investigating claim denials/rejections, and documenting related ... updating established accounts, creating visits, identifying auth numbers, and verifying insurance eligibility + Process daily queries on portals to identify… more
- PNC (Dallas, TX)
- …insurance items. Additional analytical responsibilities may be assigned, with regards to claims and lender placed insurance coverage. An ideal candidate will ... hybrid work environments As a Loan Support Analyst Senior in PNC Midland's Insurance department you will be responsible for determining compliance of commercial … more
- Kemper (Fort Worth, TX)
- …experience to our stakeholders that delivers on our promises._ **Role:** Life Insurance Sales Agent **Employment Type:** Full Time **Work Arrangement:** Field Role ... **Career and Opportunity:** Kemper is a diversified insurance holding company. We are firmly committed to servicing the insurance needs of modest-income… more
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