- Adecco US, Inc. (Irving, TX)
- …focused on supporting specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer ... high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient access. 3.… more
- Centene Corporation (Mcallen, TX)
- …related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims , contracting ... to external provider related issues + Investigate, resolve and communicate provider claim issues and changes + Initiate data entry of provider-related demographic… more
- USAA (San Antonio, TX)
- …Associate Auto Adjuster. Your work will focus on adjusting non-injury auto claims and you'll work under supervision to investigate, evaluate, negotiate, and adjust ... low complexity auto insurance claims presented by or against our members. This will...physical, financial, and emotional wellness. These benefits include comprehensive medical , dental and vision plans, 401(k), pension, life insurance,… more
- Robert Half Accountemps (Fort Worth, TX)
- Description We are looking for a skilled and proactive Medical Biller/Collections Specialist to join our team in Fort Worth, Texas. This role is vital for ensuring ... accurate billing processes, resolving insurance claims , and maintaining patient documentation. As a Contract-to-permanent position, it offers flexible afternoon and… more
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- **Overview** BROOKE ARMY MEDICAL CENTER (BAMC) INFORMATION TECHNOLOGY (IT) SUPPORT (BAMCIT): Bowhead seeks individuals to network with relative to a potential ... opportunity supporting theGeographic Service Providers (GSP) Brooke Army Medical Center (BAMC) IT Support Services directorate located in San Antonio, TX. The… more
- Robert Half Legal (Irving, TX)
- …and negotiate contracts (leases, vendor agreements, issuing agency contracts, etc.). + Conduct claims reviews and assist with claim resolution efforts. + Stay ... RESPA and affiliated business regulations. + Hands-on experience in title claims , general litigation, corporate law, and regulatory compliance. + Demonstrated… more
- GAF (Ennis, TX)
- …change notices (PCN's), and other in-plant processes. Lead jobsite inspections and claim analysis at plant level. Perform root cause analysis for reported issues ... Maintain communication with main lab at Parsippany to track claims , elaborate reports, and lead improvement projects associated with...a wide range of health insurance options that include medical , dental, and vision for you and your family.… more
- Kemper (Mcallen, TX)
- …parts were utilized within Industry Standards. + Examine third-party Total Loss claims through photos, estimates, total loss valuations to ensure valuations are ... they are in line with the facts of the claim and within Industry Standards. + Ensure adherence to... and within Industry Standards. + Ensure adherence to claims procedures and guidelines prescribed by the company to… more
- USAA (Plano, TX)
- …analyze data. **What sets you apart:** + Broad experience and expertise in Claims Investigations to include enabling new or enhanced capabilities. + Familiarity with ... Auto Claims Telematics and application to Investigations + Experience working...for process changes. + Proficient with and in Guidewire Claim Center to include design, enhancements, and overall development.… more
- Sedgwick (Bedford, TX)
- …team. + Reviews and evaluates accuracy of compensability decisions and claim assignments. + Manages staffing schedules to ensure appropriate department coverage. ... promotional growth opportunities + A diverse and comprehensive benefits offering including medical , dental vision, 401K, PTO and more The statements contained in… more