- Amazon (Austin, TX)
- …The Program, Project, Product, and Vendor Management Team within Amazon's Logistics Claims Management and Operations group is seeking a motivated and experienced ... Senior Risk Manager. The ideal candidate will be familiar with insurance and claims programs, and insurance policies, have a history of success in procurement,… more
- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims ... At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for...Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective… more
- WM (Houston, TX)
- ** Senior Paralegal & Legal Operations Specialist** This dual-role position combines advanced paralegal expertise with strategic legal operations responsibilities, ... Settlement Filings 7. Review class action settlements for WM claims . 8. Collaborate internally to collect information needed to...backup for the matter intake process. 12. Reserve / Audit Reports 13. Collaborate with VP of Litigation to… more
- Providence (TX)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... claims environment, and respond positively to change.** **The Senior Quality Analyst performs all duties in a manner...and propose opportunity solutions and success replication. Propose monthly audit focus topics to claims leaders based… more
- CRC Insurance Services, Inc. (TX)
- …(United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured, ... adjusters, agents and attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs and monthly bordereau.… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Position Summary** The Senior Manager, Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The role ... day to day operations and issue resolution. Escalate issues as appropriate to senior management. + Proactively source and develop ideas to improve fleet program,… more
- Elevance Health (Grand Prairie, TX)
- …for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare related ... **Clinical Fraud Investigator Senior ** **Location:** _Hybrid1:_ This role requires associates be...regarding approved interventions such as recovery of overpayment, pre-payment audit of claims or putting providers on… more
- Mass Markets (Killeen, TX)
- …such as quality assurance, training, IT, and recruiting. + Develop and audit quality assurance strategies to ensure the delivery of world-class service + ... At MCI, we believe that your hard work deserves recognition and reward. Our compensation and benefits packages are...+ Health Benefits: Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 90 days of… more
- HCA Healthcare (Austin, TX)
- …This position is incentive eligible. **Job Summary and Qualifications** HCA Graduate Medical Education is one of the nation's largest providers of residency and ... HCA GME is building a leading network of innovative, patient-centered graduate medical education programs. We believe graduate medical education is much… more
- Wolters Kluwer (Houston, TX)
- …platforms. In addition, during heavy periods of incoming invoice volume, conduct the initial audit and/or quality assurance invoice review audit up to 15% of the ... performance metrics using customer lens to provide upwards recommendation to management, senior leadership, and customers on how to improve customer experience +… more
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