- Molina Healthcare (Austin, TX)
- …(eg, first-pass resolution, auto-adjudication rate, claims cycle time, audit findings, cost-to-serve). + Process Optimization: Lead current/future-state ... state regs). + Designs and embeds controls, SLAs, and quality checks to support audit readiness and reduce rework. + ** Process Improvement & Change Management**… more
- Bank of America (Dallas, TX)
- …evaluating the design and execution of business processes/controls associated with Fraud and claims risk management activities (eg fraud claims , prevention ... would involve learning on each new assignment. + Executes audit strategy for the sound application of risk...seek an accommodation through the Bank's required accommodation request process before your first day of work. This communication… more
- CVS Health (Austin, TX)
- …regulation and identify process enhancement opportunities to reduce or eliminate risk of future client audit exceptions. This includes having an extensive ... as (but not limited to) benefit setup, prior authorizations, claims payment, and pharmacy contracting in order to review... process enhancement opportunities to reduce or eliminate risk of future audit exceptions, as well… more
- Sedgwick (Austin, TX)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (Fort Worth, TX)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (San Antonio, TX)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- USAA (San Antonio, TX)
- …and standards. Partners and collaborates with the lines of business, Compliance and Risk Management, Audit Services, Legal, and Regulators to support enterprise ... **What you have:** + Bachelor's degree OR 4 years of related fraud, compliance, risk , audit or regulatory experience (in addition to the minimum years of… more
- USAA (Plano, TX)
- …truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager you will be responsible for managing moderately complex litigation ... liability and questionable coverage issues. + Apply intermediate knowledge of claims litigation processes. + Proactively manage litigation and acts as liaison… more
- USAA (San Antonio, TX)
- …of NAIC regulations and have knowledge of life, annuity, and health insurance claims . Experience with risk assessment, including Risk and Control ... degree. + 6 or more years experience in compliance, risk , legal or audit within the financial...regulations. + Knowledge of life, annuity, and health insurance claims . + Risk assessment experience; RCSA and… more
- 7-Eleven (Irving, TX)
- …monthly results. + Prepare quarterly loss and exposure data for actuaries and risk /industry benchmarking. Audit and review data collection. + Reconcile quarterly ... Corporate Insurance and Risk Management Analyst Apply Now (https://my7elevenhr.wd12.myworkdayjobs.com/Careers/job/SSC-Irving-TX/ Risk -Analyst\_R25\_0000009032/apply)… more