- Zurich NA (Addison, TX)
- Workers Compensation Claims Recovery Senior Specialist 127715 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a ... your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct… more
- Zurich NA (Austin, TX)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... Basic Qualifications: + Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more years of… more
- The City of Houston (Houston, TX)
- Senior Procurement Specialist Print (https://www.governmentjobs.com/careers/houston/jobs/newprint/5089116) Apply Senior Procurement Specialist Salary ... Date 09/23/2025 Closing Date 10/22/2025 11:59 PM Central + Description + Benefits + Questions POSITION OVERVIEW Applications accepted from: All Persons Interested… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... as appropriate, DRG recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information… more
- CVS Health (TX)
- …And we do it all with heart, each and every day. **Position Summary** The ** Senior Claim Benefit Specialist ** reviews and adjudicates complex, sensitive, ... service inquiries and problems. **Additional Responsibilities:** + Reviews pre-specified claims , or claims that exceed specialist...assignment daily to junior staff. + Trains and mentors claim benefit specialists. + Makes outbound calls… more
- Centene Corporation (Austin, TX)
- …a Monday - Friday; 2:00 pm - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert and ... Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Applicants for… more
- Valmont Industries, Inc. (Brenham, TX)
- …hats may be required in most manufacturing areas and it is the EHS Senior Specialist 's responsibility to ensure that all people (employees, vendors, customers, ... Playbook and safety related teams for the site. The Senior EHS Specialist must be able to...related to EHS events such as injuries, workers compensation claims , near-miss incidents and internal and external inspections, and… more
- Molina Healthcare (Dallas, TX)
- …accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard deals, ... negotiations. Minimal ongoing engagement after contract. Synchronizes data among multiple claims systems when applicable, and the application of business rules as… more
- Molina Healthcare (TX)
- …and timely validation and maintenance of critical provider information on all claims and provider databases (using SQL, Excel, and QNXT). Staff ensure adherence ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- CVS Health (TX)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… more