• Medical Insurance Claims Resolution…

    HCA Healthcare (Austin, TX)
    …of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full- time and part - time colleagues based on income. Learn more about ... certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time ...Follow up Representative** , you will be responsible for processing insurance accounts to address claim issues… more
    HCA Healthcare (05/17/25)
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  • Claims Data Reporting Specialist Senior

    Elevance Health (Grand Prairie, TX)
    … testing, systems, and processes) preferred. + Working knowledge of WGS claims processing , reimbursement policies, and procedures highly preferred. + CI&W ... ** Claims Data Reporting Specialist Senior** **Location:** Middletown, NY;...several times per week. Specific requirements and expectations for time onsite will be discussed as part more
    Elevance Health (05/16/25)
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  • Senior Cloud Automation Engineer - Claims

    CVS Health (Richardson, TX)
    …and maintaining automation frameworks that drive the state-of-the-art Pharmacy Services - Claim Processing Application. You will work on integrating cloud-native ... framework hosted on platforms like Azure or GCP. As part of the team, you will play a crucial...Bachelors Degree or equivalent experience **Anticipated Weekly Hours** 40 ** Time Type** Full time **Pay Range** The… more
    CVS Health (05/17/25)
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  • Spanish Toll Processing Call Center…

    Mass Markets (Dallas, TX)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... Representatives to support inbound customer service, help desk, and back-office processing representatives for commercial and public sector support positions . In… more
    Mass Markets (04/16/25)
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  • SRM Processing Assistant - Virtual!

    Alight (The Woodlands, TX)
    …requests from client employees and/or HR contacts. Key Responsibilities + Intakes initial claims of fraud from callers and begins investigation process + Acts as ... Microsoft Office (Excel, Word, Outlook, SharePoint) + Excellent organizational and time management skills, with the ability to multi-task, maintain accuracy, and… more
    Alight (04/28/25)
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  • Sr Director, Performance Suite Analytics

    Evolent (Austin, TX)
    …Experience with project and stakeholder management **(Required)** + Familiarity with healthcare claim processing **(Preferred)** + 2+ years experience at payer ... Team. The candidate selected for this role will be part of a team who thrives on driving analysis...organization to ensure accurate and timely delivery of the claim financial scope reconciliation + Review claims more
    Evolent (05/02/25)
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  • Call Center Representative (Full- Time

    Mass Markets (Killeen, TX)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... Min. Years Experience0 Company/BrandMCI Location : LocationUS-TX-Killeen Career LevelEntry-Level Employment TypeFull- Time & Part - Time Reports ToSupervisor more
    Mass Markets (03/11/25)
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  • Remote ADA Accommodation Coordinator- Bilingual…

    Sedgwick (Austin, TX)
    …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Informs ... claimants of documentation required to process claims , required time frames, and ...and/or client requirements for a qualifying condition. + Makes claim determinations to approve non-complex ADA claims more
    Sedgwick (05/15/25)
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  • ADA Accommodation Coordinator

    Sedgwick (Irving, TX)
    …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** * Informs ... claimants of documentation required to process claims , required time frames, and ...and/or client requirements for a qualifying condition. * Makes claim determinations to approve non-complex ADA claims more
    Sedgwick (04/29/25)
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  • ADA Accommodation Coordinator

    Sedgwick (Irving, TX)
    …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Informs ... claimants of documentation required to process claims , required time frames, and ...and/or client requirements for a qualifying condition. + Makes claim determinations to approve non-complex ADA claims more
    Sedgwick (04/23/25)
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