- Molina Healthcare (San Antonio, TX)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... Standard Operating Procedures (SOPs). * Responds to provider correspondence related to claims recovery requests and provider remittances where recovery … more
- Carrington (Plano, TX)
- **Come join our amazing team and work remote from home!** The Sr Claims & Recovery Analysis Loss Specialist is responsible for ensuring the proper ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- Sedgwick (San Antonio, TX)
- …in Financial Services & Insurance Sr. Claims Specialist , Veterinary Claims | Professional Liability | Remote **PRIMARY PURPOSE** **:** To analyze complex ... or technically difficult veterinary claims ; to provide resolution of highly complex nature and/or...+ Identifies and investigates for possible fraud, subrogation, contribution, recovery , and case management opportunities to reduce total claim… more
- ENFRA (Houston, TX)
- …**Job Locations** _US-TX-Houston_ **ID** _2025-8519_ **Category** _Engineering/Designers_ **Position Type** _Full-Time_ ** Remote ... the pillars of our continued success. **Overview** The Senior Project Controls Specialist is responsible for providing oversight of project Planning & Scheduling,… more
- Molina Healthcare (Houston, TX)
- …for oversight, production, and resolution of health plan payment integrity (PI) recovery concepts. Executes and monitors health plan scoreable action items (SAIs) to ... (CMS) and state regulatory requirements are met for pre-pay edits and overpayment recovery . Manages inventory and works in collaboration with PI team to ensure SAI… more