• Financial Operations Recovery Specialist III

    Elevance Health (Houston, TX)
    …SPECIALIST III** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... adjustments. **How you will make an impact:** + Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting,… more
    Elevance Health (08/15/25)
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  • OS&D Coordinator

    Hirschbach Motor Lines (Fort Worth, TX)
    …business hours, ensuring the equipment and cargo are secure. + Communicating with the Claims Administrator for actual or potential cargo claims . + Creating and ... as they occur or on the next business day. + Working with the Claims Administrator and Risk Manager to effectively and efficiently handle OS&D situations. + Other… more
    Hirschbach Motor Lines (08/14/25)
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  • Commercial Manager - Pacific

    CDM Smith (Fort Worth, TX)
    …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...sex (including pregnancy, pregnancy related conditions, childbirth and related medical conditions, sexual orientation, gender identity or gender expression),… more
    CDM Smith (08/13/25)
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  • Client Services Manager - Business Development…

    EFI Global (Austin, TX)
    …cultivate strategic partnerships in the **large complex loss and catastrophic property claims ** space. At the forefront of innovation and integrity, our firm ... in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, banking… more
    EFI Global (08/08/25)
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  • Commercial Project Manager

    Stantec (Plano, TX)
    …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project ... written communications, including Change notifications, Change Requests, responses to Claims notifications, etc. within the timeframes required by the Contract… more
    Stantec (08/07/25)
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  • Senior Specialist, Provider Network Administration

    Molina Healthcare (Fort Worth, TX)
    …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
    Molina Healthcare (08/02/25)
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  • Payment Integrity Subrogation Manager - REMOTE

    Molina Healthcare (TX)
    …across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical ... Medicaid, Medicare, and Marketplace populations. + Collaborate with legal, claims , provider relations, finance, and compliance departments to ensure coordination… more
    Molina Healthcare (07/23/25)
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  • Senior Director, Federal Government Affairs

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (07/19/25)
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  • Senior Director, MSAT Biologics

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (07/15/25)
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  • Pharmacy Tech Sam's Club (Tech in Training)

    Walmart (Sherman, TX)
    …area in accordance with company policies and procedures by properly handling claims and returns; utilizing equipment to perform a variety of merchandising functions ... fulfillment process when necessary by processing information for third-party insurance claims ; rescanning illegible images; alerting patients to inventory that is… more
    Walmart (07/14/25)
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