- Sedgwick (Houston, TX)
- …- Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims ... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more
- Samsung SDS America (Plano, TX)
- …top-level third-party logistics company. The Innovation Operation Manager & Claims is responsible for leading process improvement initiatives and logistics-related ... claims resolution within Samsung SDS America's operations. This dual-function...comprehensive suite of programs to support our employees: Top-notch medical , dental, vision and prescription coverage Wellness program Parental… more
- CVS Health (Austin, TX)
- …**Position Summary** This position will be responsible for utilizing previous ACAS claims experience along with provided guidance to review and validate claims ... candidate will be able to work independently and with others to review claims tied to different overpayment projects in the Overpayment Tracking System, revalidate… more
- Houston Methodist (Houston, TX)
- …and claim edits, payor rejections, unresolved or no response insurance claims and processing of financial correspondence. The Insurance Biller demonstrates general ... knowledge of billing practices and maintains departmental standards relating to insurance claims processing, charge entry and billing functions. This role is also… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for ... certain assets within the broader CNS TA portfolio Medical Affairs (both US and Global), with a specialization...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Position Summary:** The Associate Director of Global Medical Affairs Omnichannel will be responsible for developing and leading the omnichannel strategy for Global ... Medical Affairs across all therapeutic areas and brands. This...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Position Summary** : Reporting to the Vice President, Global Medical Affairs, the Executive Director, CNS Strategy, Global Medical Affairs is a leadership ... position responsible for the strategic and tactical medical plans of both global and US ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- USAA (Houston, TX)
- …and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes ... technology and desk adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to physically inspect losses… more
- Sedgwick (Irving, TX)
- …operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor ... individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within… more
- Elior North America (Houston, TX)
- …Compensation Program Manager to help us effectively manage, investigate, and resolve claims . In this role, you'll develop strategies and action plans that reduce ... **What you'll be doing:** + **Manage the end-to-end workers' compensation claims process** in partnership with the Third-Party Administrator (TPA), ensuring timely… more