- Sedgwick (Austin, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Management and Executive Risk Claims Manager **PRIMARY PURPOSE** **:** To manage the ... policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Molina Healthcare (Austin, TX)
- …cutover planning, and post-go live stabilization. + Hands-on governance, quality assurance, risk management , and escalation handling in a regulated environment ... requirements, configuration, and testing for platforms such as Salesforce (case management , integrations), QNXT (or similar core claims ), RPA/automation, and… more
- Sedgwick (Austin, TX)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Executive General Adjuster - Southwest Region **PRIMARY PURPOSE** : To investigate … more
- Sedgwick (Austin, TX)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To investigate… more
- Baylor Scott & White Health (Round Rock, TX)
- …those responsible for disclosure. + Reports to BSWH department of Risk Management and facility senior clinical and executive managers: a) the initial ... of Risk Management , investigates to evaluate patient harm. If organizational risk is found, the Corporate claims manager will review the event further.… more
- Ford Motor Company (Austin, TX)
- …do so. Implement and monitor supplementary underwriter self-audit quality control processes ** Risk Management :** . Manage portfolio Gross/Net premium and CAT ... with the Ceded Reinsurance team . Monitor and manage Risk Management and capital adequacy framework in...skills both written and oral. Ability to concisely provide executive summaries to senior management as needed… more
- Molina Healthcare (Austin, TX)
- …of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management , Network, and other departments to enable critical ... sources. + Knowledge of healthcare operations (utilization management , disease management , HEDIS quality measures, claims processing, etc.) + Knowledge of… more
- HUB International (Austin, TX)
- …is a global insurance broker providing a broad array of property, casualty, risk management , life and health, employee benefits, investment and wealth ... management products and services. HUB has more than 650...Account Manager works collaboratively with the Producer, and Account Executive to manage a book of business. Coordinates and… more
- Zurich NA (Austin, TX)
- …leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We ... and 18 or more years of experience in the Claims or Underwriting Support areaAND + Experience in a...+ Strong Broker relationships + Results oriented + Portfolio management , risk selection and pricing experience +… more
- Zurich NA (Austin, TX)
- …leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We ... lines of business, including coverage and rating plans. + Portfolio management , underwriting, product underwriting, product development, risk selection and… more
- The Cigna Group (Austin, TX)
- …**Nice to Have** + Prior **PBM/specialty pharmacy** platform knowledge (eg, claims /benefit management , care coordination, specialty workflows). + Earlier ... technology and the business to accelerate transformation. The position requires executive presence to engage senior leadership, balancing high enterprise influence… more
- Evolent (Austin, TX)
- …driving analysis and support for Evolent's fast growth and innovative risk -based Performance Suite business. **Collaboration Opportunities:** This person will work ... to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key… more
- Guardian Life (Austin, TX)
- …business leaders. Our solutions and actions are critical to Guardian's revenue growth, risk management and customer experience. Guardian created a Data Science ... that will be market-tested and deployed to make a real difference to risk management and Guardian's overall financial performance. Successful candidates bring… more
- Molina Healthcare (Austin, TX)
- …weekly/monthly/quarterly/annually standard reports. + Must have experience in analyzing Utilization management , member health risk assessment data using SQL, ... **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network...using PowerBI + Must be able to collaborate with Executive teams in Utilization management , Operations, Core… more