- EMCOR Group (Manchaca, TX)
- …monthly overhead expenditures to justify and/or correct budget variances. + Prepare monthly insurance loss runs and status of existing claims to determine ... as needed and ensure that changes in labor rates, insurance rates and tax rates are communicated timely and...vendors and suppliers and coordinate vendor negotiations with Purchasing Manager for inclusion of terms and discounts. + Coordinate… more
- AUI Partners (TX)
- …gather material and evidence for use in hearings, lawsuits, workers' compensation claims , and insurance investigations. + Ensure Incident Reporting is completed ... Inspections: + Report Safety Inspection findings to the Project Manager and Superintendent and ensure recommended changes have been...+ Assist HR, Legal and Compliance on Worker Compensation claims and other claims involving the public,… 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
- Sedgwick (Bedford, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Customer Case Coordinators **Our teams connect! We collaborate in the office ... Case Coordinators. We help auto customers through the manufacturing claims process. **_We offer benefits on day one:_** +...+ Escalate customer, dealer or 3rd party issues to manager as appropriate + Ensure quality of service on… more
- Robert Half Finance & Accounting (Houston, TX)
- …developing, implementing, and maintaining risk management strategies and policies. Oversee insurance programs, including policy renewals, claims management, and ... TX is seeking a dedicated and experienced Assistant Risk Manager to join our team. The ideal candidate will...a national or international company, along with expertise in insurance programs, OSHA compliance, workers' compensation, and fleet … more
- Elevance Health (Houston, 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 (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
- Elevance Health (Houston, 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
- Elevance Health (Houston, TX)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare related questions… more
- USAA (San Antonio, TX)
- …P&C Claims Operations and/or Optimization experience. + 2+ years of MCO ( Manager , Claims Operations) experience. + Deep operational knowledge of end-to-end ... claims processes. + Demonstrated knowledge of new and emerging...comprehensive medical, dental and vision plans, 401(k), pension, life insurance , parental benefits, adoption assistance, paid time off program… more