- Molina Healthcare (Dallas, TX)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
- Molina Healthcare (Houston, TX)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... ensure that internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... its evolved customer engagement model, a Hospital Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, offering expertise on… more
- HCA Healthcare (Austin, TX)
- …is recognized. Submit your application for the opportunity below:Insurance Collections Specialist - CBOSurgery Ventures **Benefits** Surgery Ventures offers a total ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...vary by location._** We are seeking an Insurance Collections Specialist - CBO for our team to ensure that… more
- DriveTime (Fort Worth, TX)
- …contracted expectations. In addition, this is a customer facing role where the specialist serves as a liaison between the customer and vendors to resolve complaints ... calls in a timely manner + Handle customer complaint claims resulting from repossession activity through customer calls, research,...notice._ **So What About the Perks? Perks matter** + ** Medical , dental, and vision, oh my!** DriveTime Family of… more
- Sedgwick (Austin, TX)
- …Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research, resolve, and ... to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Shaw Industries Inc (Austin, TX)
- Job Title Sales Development Specialist - Commercial Flooring, Denver Position Overview Shaw Contract is a global design leader in commercial flooring for some of the ... learn, live, play and heal. As a Sales Development Specialist , you will contribute to sales growth by partnering...as directed by management to ensure seamless coverage. + Claims Management: Handle and resolve customer claims … more
- Sedgwick (San Antonio, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Specialist **PRIMARY PURPOSE** : To enhance the ADA process for claimants ... requesting accommodations under the ADAAA; to review complex medical information for temporary and permanent accommodation requests; and to approve and/or negotiate… more
- Valmont Industries, Inc. (Brenham, TX)
- …and Sustainability Playbook and safety related teams for the site. The Senior EHS Specialist must be able to align the site's EHS activities with Valmont's overall ... leadership teams. It is critical that the Senior EHS Specialist assists others in their growth and knowledge of...related to EHS events such as injuries, workers compensation claims , near-miss incidents and internal and external inspections, and… more
- Molina Healthcare (Fort Worth, TX)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to… more