- Molina Healthcare (Fort Worth, TX)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Zelis (Plano, TX)
- …queries + A good understanding of public and private healthcare payment systems , medical claims , standard claim coding, claim editing, contracting, ... the personal interests that shape who you are. Position Overview The Sr . Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer… more
- USAA (Dallas, TX)
- …truly makes us special and impactful. **The Opportunity** As a dedicated Senior Auto Appraiser, you will work within defined guidelines and framework responsible ... for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate accuracy in… more
- HUB International (Irving, TX)
- …representatives and updates all HUB computer systems and automated agency management systems when necessary. Ensures the accuracy of data in those systems ... premium comparisons, renewal reviews and renewal proposals. As a Senior Account Manager, you will also be expected to...Word, Excel and PowerPoint as well as agency management systems and web browser software + Exceptional time management… more
- Dal-Tile Corporation (Sunnyvale, TX)
- …first step forward and explore a career with Dal-Tile. **Job Objective:** The Sr HR Coordinator is an entry-level contributor that supports the human resources ... of administrative services and special projects as needed. . Research confidential employee data and run reports as needed. . Codes invoices and processes payment as… more
- Molina Healthcare (Fort Worth, TX)
- … claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Owens & Minor (Dallas, TX)
- …IP Billbacks/Chargebacks, Sales Rebates, and incentives- Configuration of Agreements, Master data , IP types, Claims & Transaction, matrices, buckets, Pricing ... and collaboratively in a team environment to develop and maintain high quality systems and processes. + Should be able to communicate effectively with customers and… more
- Amazon (Dallas, TX)
- …of different types of products from custom electronic assemblies to large integrated systems . In this capacity the Business Manager has the responsibility to: * Lead ... * Financial Management: Managing business relationships, contracts, pricing, and claims while maintaining effective negotiation strategies. * Relationship Building:… more
- Molina Healthcare (Fort Worth, TX)
- … systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical… more
- Bank of America (Plano, TX)
- …detection algorithms and systems . Perform regular audits and analysis of transaction data to detect new fraud trends. * Guiding team to Develop new fraud ... Fraud Analytics and Innovation Senior Leader - Client Protection Newark, Delaware;Plano, Texas;...data required for performing analysis. * Partner with claims , policy, strategy, and product teams to deliver … more
- Public Storage (Plano, TX)
- …We are looking for a leader to join our Risk Management team as a Senior Director, Risk Management. This leader will partner and drive our Risk Management practice ... strategies developed in partnership with broker partners. + Manage internal exposure data to assist in the preparation of underwriting submissions + Maintain… more
- Elevance Health (Grand Prairie, TX)
- … data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy ... **Investigator Senior ** **Supports the Payment Integrity line of business**...to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health… more
- Kemper (Dallas, TX)
- …to achieve growth & profit objectives may include training on products, systems , service, and underwriting, book transfers, development of existing accounts, new ... + Operates as the point of contact for operations, systems and policy training for account products as well...Utilizes agency segmentation, reports and technology to manage account data and performance. + Documents all completed activities with… more
- Brown-Forman (Dallas, TX)
- …complex data , identify trends, and develop actionable insights. + Systems Proficiency: Advanced proficiency in Word, Excel, and PowerPoint (or Google ... (MFL) and earthquake Probable Maximum Loss (PML) estimate calculations, providing robust data to inform our risk transfer strategies. + _Global Compliance and… more
- Citizens (Irving, TX)
- …available loss mitigation options, including deferrals, forbearance, loan modifications, partial claims , repayment plans, short sales, or deeds in lieu of ... a positive attitude. + Technical Proficiency: Familiarity with digital phone systems and mortgage servicing platforms. + Professionalism: Experience working with… more
- CRC Insurance Services, Inc. (Dallas, TX)
- …activities comply with regulatory requirements and internal policies. Maintain organized systems and keep internal reporting dashboards and data repositories ... other strategic arrangements (eg, initiatives with retailers and wholesalers). Ensure data and reporting compliance. + **Negotiation and Placement:** Negotiate terms… more
- Lockheed Martin (Fort Worth, TX)
- …the impossible every day\. At Aeronautics, we leverage problem solving, creativity, and data to tackle the most exciting challenges in the industry\. Our people are ... at Lockheed Martin\! **Who You Are** As a Global Supply Chain Contracts Analyst, Sr Staff you are an experienced professional with a legal, contracts or supply chain… more
- Fresenius Medical Center (Plano, TX)
- …PRINCIPAL DUTIES AND RESPONSIBILITIES: + Under supervision, utilizes the appropriate systems and procedures to process payments, adjustments and denials for FVC ... (EOB's) and prints electronic Remittance Advice (RA) reports from the electronic data interchange vendor (Navicure). + Totals transactions on EOB's and RA's and… more
- Bank of America (Plano, TX)
- …expand our capabilities, reduce customer friction, and make strategic investment decisions. Data related to customer profiles and online banking login events hold an ... deliver on organizational loss goals. Device and Non Monetary Fraud and Innovation Senior Analyst- This job is responsible for performing complex analyses of online… more
- OneMain Financial (Fort Worth, TX)
- …other leave of absence programs. + Compiles and analyzes leave and accommodation data to identify trends, key metrics, gaps in processes or compliance concerns and ... recommend/execute upon solutions. + Conducts periodic reporting, performs data audits, reconciles pay discrepancies and adjusts absence data - all while ensuring… more