- WTW (Dallas, TX)
- …and Technology ("ICT") business. We are looking for a strategic sales professional experienced in insurance technology sales that know how to sell innovation ... industries. Working knowledge of insurance functions especially product development, pricing, claims , underwriting and actuarial a plus. + Ability to work… more
- Texas Health Resources (Fort Worth, TX)
- …experience is required. (RN) + Three (3) Years Risk Management, Quality Management, Legal or Patient Safety is highly preferred. + Strong knowledge of Excel, MS ... is highly preferred upon hire. + CPHRM - Certified Professional in Healthcare Risk Management or CPPS Certified ...patient and family complaints. + Demonstrate ability toreduce liability claims , sentinel events, near misses, and the overall cost… more
- WTW (Dallas, TX)
- …America P&C propositions, especially in the business-focused areas of Pricing, Product, Claims and Underwriting. Our goal is to substantially increase our footprint ... relationships across the wider organisation + Demonstrate commitment to WTW professional standards in managing analyses and in communications with clients Thought… more
- Texas State University (San Marcos, TX)
- …Payroll Overpayments: Identify, reconcile, collect, deposit, and account for employee claims . + Responsible for the Texas Comptroller Multivendor Reimbursements & ... a resume., You will be required to electronically attach a list of references. Legal and Required Notices Texas State University is committed to a policy of… more
- J&J Family of Companies (Dallas, TX)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... Care, Commercial). + Execute business in accordance with the highest ethical, legal , and compliance standards, including timely and successful completion of all… more
- J&J Family of Companies (Dallas, TX)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... Care, Commercial). . Execute business in accordance with the highest ethical, legal , and compliance standards, including timely and successful completion of all… more
- CVS Health (Austin, TX)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... prepares cases for clinical and legal review. + Documents all appropriate case activity in...to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE + Bilingual English/Spanish +… more
- Walgreens (Grand Prairie, TX)
- …you + A lifelong learner - You stay ahead of industry advancements and professional growth + A problem-solver - You navigate challenges, from insurance claims ... a retail setting including prescription filling and verification, records and legal compliance, pharmacy operations, pharmacy software and technology systems and… more
- Comerica (Dallas, TX)
- …HR environment is fast paced, sometimes under pressure, and professional . Confidentiality is a crucial component in this position.Position Responsibilities: ... of policies and procedures; HR hotline calls, employee grievance complaints and agency claims ; and partner with Employee Relations, Fraud, Security, and Legal … more
- Houston Methodist (Sugar Land, TX)
- …and operations initiatives that secure compliance with ethical and legal business practices and accreditation/regulatory/ government regulations. **PEOPLE ESSENTIAL ... with the philosophy of the Houston Methodist. Assures encounters are reviewed, claims created and manages workflow dashboards. + Monitors charge capture patient… more