- Molina Healthcare (Dallas, 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
- NTT DATA North America (Plano, TX)
- Company Overview: Req ID: 328565 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an ... now. We are currently seeking a Tech Solns. Arch. Sr . Specialist Advisor to join our team in Dallas,...United States (US). Job Description: Position's Overview At NTT DATA , we know that with the right people on… 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
- 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 (Dallas, 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
- 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
- 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
- Wells Fargo (Irving, TX)
- …partners within Consumer, Small Business Banking (CSBB) Operations and Fraud and Claims Management (FCM) with analytic insights, data visualization, risk, ... Analytics and Decision Support (ADS) Team is seeking a ** Senior Analytics Consultant** to join their team. ADS is...and expertise. + Provides insight and knowledge around obtaining data and its extraction from various systems … more
- NTT DATA North America (Mckinney, TX)
- **Req ID:** 327579 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, ... and forward-thinking organization, apply now. We are currently seeking a Salesforce Senior Business Analyst - (Life Insurance) to join our team in McKinney,… 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
- 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
- GAF (Ennis, TX)
- …And under this roof, we protect what matters most. **Job Summary** The Senior Process Engineer is responsible for engineering needs, demonstrating skills in plant ... the field. Maintain communication with main lab at Parsippany to track claims , elaborate reports, and lead improvement projects associated with customer claims… 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 ... healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . **How you will make your impact:** + Claim reviews for appropriate coding,… more
- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- …and coordinate briefings for the customer, support personnel and Bowhead senior management. The General Manager must be able to interact knowledgeably ... and execution of cost reduction and efficiency improvement projects. + Use data -driven approaches to enhance production performance and reduce waste. + Manage the… more