- Sedgwick (San Antonio, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and candidates residing ... non-legal invoices on behalf of our clients for services provided to insurance carriers, corporate legal departments and government entities. The auditor will apply… more
- Molina Healthcare (San Antonio, TX)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... Medical Officer for Administrative Law Judge pre-hearings, State Insurance Commission, and Meet and Confers. + Represents Molina...programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and… more
- Adecco US, Inc. (Irving, TX)
- …$60.10 per hour Benefit offerings available for our associates include medical , dental, vision, life insurance , short-term disability, additional voluntary ... focused on supporting specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer… more
- Sedgwick (Houston, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager-Sign-On Bonus **This Field Case Manager will cover our Houston, ... Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely… more
- Kemper (Houston, TX)
- … experience preferred. + Bilingual English/Spanish a plus. + Working knowledge of insurance operations: underwriting, claims , marketing, and product. + Must have ... collaborating with peers in the sales organization, State Product Managers, Claims , Agency Support and Licensing, Marketing, and Customer Service/Underwriting. + The… more
- Actalent (Fort Worth, TX)
- …medications quickly and accurately. This role involves handling calls, processing insurance claims , and resolving copay issues-all while delivering excellent ... calls with patients, providers, and insurers. + Process live insurance claims and assist with copay programs....for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Gerber Collision & Glass (TX)
- …who work a minimum of 30 hours per week + 6 paid holidays annually + Medical , Prescription Drug, Dental & Vision Insurance effective Day 1 + 401(k) Retirement ... ensure all locations are performing to potential. Contact all claims managers and dealer accounts on a monthly basis...Promote, develop and act as a liaison with area insurance contacts and other referral points. Ensure that stores… more
- Humana (Austin, TX)
- …informaticists to define various clinical concepts and extract clinical information from medical , pharmacy, and lab claims for analytics and modeling purposes ... Qualifications** + Healthcare or managed care working experience + Experience working with medical , pharmacy, lab claims + Experience working with big data and… more
- Sedgwick (Austin, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Nurse Allocator Medicare **PRIMARY PURPOSE OF THE ROLE:** To perform provider ... or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. + Work… more
- Evolent (Austin, TX)
- …patient health. This role supports capitated risk and value-based strategy development, medical cost management activity, medical economics activity, and a ... team in the analysis and interpretation of cost and utilization data ( medical and pharmaceutical) to explain potential upside/downside risks of a given… more