- AIG (Dallas, TX)
- Claims Management Analyst Join us as a Claims Analyst to grow your experience in handling complex claims . Make your mark in Claims . Our ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- AIG (Dallas, TX)
- Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex claims . Make your mark in ... to ensure accuracy of financial exposure. Identifies and makes reserve recommendations to management on claims evaluated greater than assigned authority. + Works… more
- AIG (Dallas, TX)
- Join us as a Claims Adjuster to grow your experience in handling complex claims . Make your mark in Claims Our Claims teams are the proven problem solvers ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Amazon (Austin, TX)
- …* Research and implement cost reduction opportunities. About the team Logistics Claims Management and Operations (LCMO) provides insurance and risk expertise, ... the world in innovative technologies and services. This Business Analyst role will help business leaders make sense of...management for Amazon businesses. The 3P Insurance and Claims Team within LCMO provides insurance and claims… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** **New** Information ... Qualifications:** + Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing Claims… more
- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** Treasury Claims Analyst Senior - Remote **Job Description** The Senior Treasury Claim ... Analyst is responsible for supporting the claim payment process,...providing guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and… more
- Acosta Group (Lewisville, TX)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...package for clearing + Contacts Sales, clients, customers, and management team for information as needed. + Proactively managers… more
- Molina Healthcare (Houston, TX)
- …**PREFERRED EXPERIENCE:** + 1-3 years claims analysis + 6+ years medical claims processing experience + Project management + Expert in Excel and PowerPoint ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are appropriately applied. Manages… more
- TEKsystems (Dallas, TX)
- …of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim ... and research curtailment reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI… more
- Ascension Health (Austin, TX)
- …8-hour, Day Shift, Monday-Friday, Partially Remote + **Facility:** Ascension Care Management Insurance + **Location:** Austin, Texas Must Reside in Austin, Texas ... the time of the offer._ **Responsibilities** Oversee medical professional liability claims and litigation for the Ascension Health Alliance Professional Liability… more
- Deloitte (Fort Worth, TX)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... Health Care & Life Sciences, Digital Banking & Payments, Investment & Wealth Management , Insurance, Telecom, Media and Energy & Resources. Our OTT team brings… more
- Centene Corporation (Austin, TX)
- … management experience preferred. **Ideal candidates have experience with claims configuration, pricing, fee schedule set up, benefit creation, and authorization ... business needs and objectives for assigned function. Role is focused on claims configuration, pricing, fee schedule set up, benefit creation, and authorization… more
- USAA (San Antonio, TX)
- …Relocation assistance is not available for this position. **Several new positions within the Claims Data and Analytics team to support the build out of omni channel ... and adjuster interactions across multiple channels. This work will be critical to the Claims 2030 strategy and our ability to identify deeper and rich insights to… more
- Cognizant (Austin, TX)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... Maintain complete confidentiality of company business; Maintain communication with management regarding development within areas of assigned responsibilities and… more
- Guardian Life (Plano, TX)
- …how BI (processes, practices and technologies) play a critical role in improving claims management and optimization. + Explore the data and discovers patterns, ... Individuals within the **Business Analyst IV** role identify business intelligence, reporting, and...Claims Operations with a focus on improving risk management and operational efficiency. They work closely with BI… more
- Prime Therapeutics (Austin, TX)
- …every decision we make. **Job Posting Title** Specialty & Home Delivery Program Analyst - Remote **Job Description** The Specialty & Home Delivery Program Analyst ... partners and Pharmacy Match product which may include implementations, projects, claims & performance guarantee monitoring, and testing. This position is responsible… more
- Highmark Health (Austin, TX)
- …resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc. This ... working relationships with key internal areas, such as Customer Service Operations ( Claims , Dental Benefits, Customer Service, Membership & Billing), Provider Data … more
- Molina Healthcare (TX)
- …based on analyses + Provide data driven analytics to Clinical COE, Finance, Claims , Medical Management , Network, and other departments to enable critical ... Power BI + Knowledge of healthcare operations (utilization management , disease management , HEDIS quality measures, claims processing, etc.) + Knowledge of… more
- Kemper (Dallas, TX)
- …to understand and create Cost/Benefit Analysis of innovation options + Work with Claims Management to support improvement plans and controls for tracking ... **POSITION SUMMARY** : Under minimal supervision, responsible for working across the P&C Claims organization to help identify and support key strategic claims … more
- BrightSpring Health Services (Anna, TX)
- …Overview Goal oriented individual who consistently follows up on unpaid claims utilizing AlphaCollector and filing appeals when appropriate to obtain maximum ... various DSS/CSA Localities in Virginia, verifying to Purchase Orders/Invoices received.* Analyze claims for assigned payor sources and follow up on all outstanding … more