- AUI Partners (TX)
- …growth. 2) Inspections: + Report Safety Inspection findings to the Project Manager and Superintendent and ensure recommended changes have been implemented. + Hand ... + Assist HR, Legal and Compliance on Worker Compensation claims and other claims involving the public,...incident has occurred involving an injury or damage to property , immediately administer a drug/alcohol screening. 4) Safety Training:… more
- Philadelphia Insurance Companies (Plano, TX)
- …of the Tokio Marine Group, designs, markets and underwrites commercial property /casualty and professional liability insurance products for select industries. We have ... AM Best. We are looking for a Product Development Manager to join our team. Summary The Product Development...of new and existing insurance product development projects for Property , General Liability, Auto, Inland Marine, Crime, Farm, Business… more
- Elevance Health (Houston, TX)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Houston, TX)
- …with fraud and abuse. **How you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- EMCOR Group (Manchaca, TX)
- …with company vendors and suppliers and coordinate vendor negotiations with Purchasing Manager for inclusion of terms and discounts. + Coordinate claims ... Prepare monthly insurance loss runs and status of existing claims to determine adequate reserves are accrued and adjusted...401(k), and FSA administration. + Manage control of company property issued to employees leased by the company to… more
- Elevance Health (Grand Prairie, TX)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Grand Prairie, TX)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Grand Prairie, TX)
- …in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies, ... health insurance claims handling and provider network contracting. **How will you...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Grand Prairie, TX)
- …requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance ... experience. + Facets systems knowledge considered a plus. + Claims and/or Encounters experience preferred. + Experience with Medicaid...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- CDM Smith (Austin, TX)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
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