- Zurich NA (Dallas, TX)
- …experience in the Claims or Underwriting Support area + Zurich Certified Insurance Apprenticeship program including an Associate Degree and 1 or more years of ... either the Account Executive or Senior level. The hiring manager will determine the appropriate level based upon the...Zurich North America is a leading provider of commercial property -casualty insurance solutions and a wide range… more
- Elevance Health (Houston, TX)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Grand Prairie, TX)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Grand Prairie, TX)
- … claims . Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network ... and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying and developing enterprise-wide specific… more
- 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
- 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 ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… 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 ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… 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 ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… 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 ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
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