- CRC Insurance Services, Inc. (Plano, TX)
- …job description:** This role is focused on technical claim handling of complex general liability claims , both litigated and non-litigated. This role requires ... affecting primary and excess policies in a fast-paced E&S Claim remote environment 2. Independently evaluating information...and underwriters in the handling and adjudication of all claims 10. Handling complex claims … more
- Providence (TX)
- …take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with potential for media exposure + Report ... must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional,… more
- Molina Healthcare (Austin, TX)
- Molina Healthcare is in search of a Manager , Configuration. This role is remote and can be worked from a variety of locations. Highly Qualified Candidates Will ... training, and corrective action as appropriate. + Understanding of complex payment methodologies + Understanding of complex ...of health care benefits. + Advanced knowledge of healthcare claims and claim processing from receipt through… more
- Valvoline Global (TX)
- …Founded in 1866, we introduced the world's first branded motor oil, staking our claim as a pioneer in the automotive and industrial solutions industry. Today, as an ... of automotive and industrial solutions. **How You'll Make an Impact** The **Senior Manager , Identity and Access Management (IDAM)** is a key leader in the… more
- Motion Recruitment Partners (Irving, TX)
- Project Manager / Remote Irving, TX **Hybrid** Contract $51.07/hr - $51.07/hr Our client is looking for a Project Manager on an 11-month contract in Irving, ... TX. Join over 20,000 employees at this global company specializing in technology-enabled claims and risk management solutions. You will be part of a culture that is… more
- Molina Healthcare (TX)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... and Project * Experience partnering with various levels of leadership across complex organizations * Strong quantitative aptitude and problem solving skills *… more
- CVS Health (Austin, TX)
- …problem-solving abilities **Preferred Qualifications** Clinical Coding Experience - Content Manager Claim Processing Medicaid Working with SQL Application ... do it all with heart, each and every day. Remote : can work anywhere in the US **Position Summary**...can work anywhere in the US **Position Summary** Medicaid Claim Editing Content Management team. Must oversee ongoing content… more
- Prime Therapeutics (Austin, TX)
- …and analytical models. **Responsibilities** + Provide analysis and conclusions for moderately complex analytical work + Forecast claims and membership in support ... Previous work experience with data analysis, large data sets and/or pharmacy claims ; creating moderately complex calculations and statements **Minimum Physical… more
- Sedgwick (Austin, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness...on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in… more
- CVS Health (Austin, TX)
- …do it all with heart, each and every day. **Position Summary** This Case Manager - Registered Nurse (RN) position is with Aetna's National Medical Excellence (NME) ... team and is a fully remote position. Candidates from any state are welcome to...both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or face to face… more
- Sedgwick (Houston, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **This Field Case Manager will cover our Houston, TX region and ... be considered.** **Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case… more
- CBRE (Austin, TX)
- Contracts and Commercial Sr Manager Job ID 220291 Posted 10-Jun-2025 Service line GWS Segment Role type Full-time Areas of Interest Administrative, Risk Management ... Location(s) Remote - US - Remote - US...industry. **About the Role:** As a CBRE Sr. Commercial Manager , you will be responsible for leading the contract… more
- Sedgwick (Austin, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US and are ... knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness...on the health and lives of others, and a remote work environment that allows face to face interaction… more
- Celestica (Houston, TX)
- Req ID: 126169 Remote Position: Yes Region: Americas Country: USA State/Province: New Hampshire City: Remote Employee US **Summary** The Global Customer Business ... Unit General Manager 2 leads a team of multiple Global Customer...and Cloud Solutions business. The GM must deal with complex and controversial negotiations, problem resolution, and project/program implementations… more
- CVS Health (Austin, TX)
- …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** **Shift schedule is ... position consists of working intensely as a telephonic case manager with patients and their care team for fully...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- CVS Health (Austin, TX)
- …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** **Shift schedule is ... position consists of working intensely as a telephonic case manager with patients and their care team for fully...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- Zurich NA (Addison, TX)
- E&S Casualty Regional Underwriting Manager 123987 Zurich E&S is currently looking for a Regional Underwriting Manager for our E&S Casualty team. E&S Casualty is ... team with the new Zurich E&S Primary Casualty team. This E&S Casualty Manager position will be responsible for developing, coaching, and managing a high-performing… more
- Mass Markets (Killeen, TX)
- …for the day-to-day activity and development of 5-10 supervisors within a complex call center environment. The Operations Manager position is responsible ... POSITION OVERVIEW OPERATIONS MANAGER SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS Our...subject matter expert on your client's business + Manage remote employees as needed. + Other duties and responsibilities… more
- Mass Markets (Killeen, TX)
- …for the day-to-day activity and development of 5-10 supervisors within a complex call center environment. The Operations Manager position is responsible ... looking for a highly skilled call center customer service manager who can motivate sales and service supervisors to...subject matter expert on your client's business + Manage remote employees as needed. + Other duties and responsibilities… more
- Elevance Health (Houston, TX)
- …grievance and appeals in regulated audits. + Serves as a resource for complex issues and interpretation of claims , provider contracts and data, eligibility, ... ** Manager II Grievance/Appeals (RN)** **Location** : **Hybrid 2:**...approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate… more