- Sedgwick (Plano, TX)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead Assistant - Liability -...professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional… more
- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit ... and adjustments as required. + Implementation and maintenance of claims processing programs and procedures + Verify...and administrative duties as required by business need. + Lead and implement positive changes with a high level… more
- Humana (Austin, TX)
- …customer-focused and ensure the highest operational standards for more than 240M claims processing transactions associated with our 9+ million members. Reporting ... seeking an accomplished executive to join our team and lead our claims horizontal. The VP, ...allow this leader to ensure timely, accurate, and customer-focused claims processing , while driving continuous improvement, regulatory… more
- WestRock Company (Evadale, TX)
- …and Technical area within Smurfit Westrock Mill Division has an opportunity for a Claims Coordinator who is the first point of contact when a customer experiences a ... issue or problem. The position will be responsible for efficiently processing customer complaints while fostering strong customer relationships. Your role will… more
- USAA (San Antonio, TX)
- …and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information Management, ... Governance, Information Delivery Analytics & Insights Delivery, and Support. Lead the short-term and long-term strategy and vision of...and vision of the assigned sub-functions for the CoSA Claims working with peers to set objectives across the… more
- Molina Healthcare (Austin, TX)
- …test assumptions through data, but lead with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Molina Healthcare (TX)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims ... accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing . This role will focus on identifying, reviewing, and validating Medicaid… more
- Humana (Austin, TX)
- …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... of our caring community and help us put health first** The Medicaid Lead , Technology Solutions builds strategic partnerships and manages relationships between IT and… more
- Robert Half-Robert Half Corporate (Houston, TX)
- **JOB REQUISITION** Operational Support Lead Administrator **LOCATION** TX HOUSTON WEST **JOB DESCRIPTION** Robert Half is seeking an **Operational Support Lead ... valued and fulfilled in their roles. **Join our community as an Operational Support Lead Administrator and advance your career as you help us shape our future.**… more
- Humana (Austin, TX)
- …of medical coding to include ICD-10, CPT, HCPCS + Knowledge of medical claims processing procedures + Extensive analytical skills + Experience with process ... our caring community and help us put health first** The Process Improvement Lead researches best business practices within and outside the organization to establish… more