- Molina Healthcare (Austin, TX)
- …supervised learning and rule-based logic to detect potentially incorrectly paid claims . + Contribute to improve data quality, perform data audits, identify ... discrepancies and resolve issues. + Support the identification of opportunities for operational improvement or growth based on analytical findings. + Areas of exposure may include: + Economics/Finance + Data Analysis / Science + Fraud, Waste, and Abuse… more
- AUI Partners (TX)
- …in daily time and quantities reporting * Assist with resolving potential claims with subcontractors/suppliers * Assist and prepare pending change orders * Interprets ... designs and drawings; prepares takeoffs; researches and recommends resolutions to drawing interpretation problems, RFI's, conflicts and errors * Coordinate and oversee completion of As-Built Drawings * Assist in reviewing and approving Material Invoices &… more
- ABM Industries (Dallas, TX)
- …coordinates bus evacuation activities as appropriate * Immediately reports any incidents or claims to Operations Manager or Shift Lead * Refuel and maintain shuttle ... equipment and fuel use logs * Maintain a clean work environment, disinfecting shuttle after each use * Performs pre-inspection and post-inspection activities to ensure proper operating conditions, adherence to prescribed Department of Transportation standards,… more
- Molina Healthcare (Austin, TX)
- …affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable ... financial and even clinical insights to focus high priorities and attack underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging value-based care… more
- The Hartford (San Antonio, TX)
- Consultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... position within the ENVIRONMENTAL unit of The Hartford's Complex Claims Unit (CCU), responsible for the management of various...Additional information: This role can have a Hybrid or Remote work arrangement. Candidates who live near one of… more
- USAA (San Antonio, TX)
- …**Injury Examiner** , you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to include confirming coverage, ... determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a… more
- Sedgwick (Irving, TX)
- …flexibility-and connection.** **This role follows a hybrid work model, blending remote flexibility with in-office collaboration. To make that possible, candidates ... **_caring counts-and so do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise, and impact. Right now,… more
- Humana (Austin, TX)
- …years of grievance and/or appeals experience. + Previous experience processing medical claims . **Additional Information** + **Workstyle:** remote , work from home ... at a time that is best for your schedule. Limited Geography Remote - This is a remote position but located within a specific geography. Travel: While this is… more
- The Hartford (San Antonio, TX)
- Consultant Claims - CH08CE We're determined to make a...INFORMATION : This role can have a Hybrid or Remote work arrangement. Candidates who live near one of ... Consultant is a claim handling role within the Complex Claims Unit (CCU). CCU Construction is a highly specialized...do not live near an office will have a remote work arrangement, with the expectation of coming into… more
- The Hartford (San Antonio, TX)
- Team Leader Claims - CH08AE We're determined to make a...action planning This role can have a Hybrid or Remote work arrangement. Candidates who live near one of ... our team as we help shape the future. The Claims Team Leader will manage and direct claim investigation,...do not live near an office will have a remote work arrangement, with the expectation of coming into… more