- American Automobile Association (Coppell, TX)
- Claims Field Senior Property Adjuster Job Summary This position handles moderate to complex claims matters involving homeowner property insurance written by ... The primary functions include investigation, damages evaluation, negotiation strategies, and claims resolution of moderate to complex claims . The position… more
- Fortuna BMC (Irving, TX)
- …Are you someone who thrives on accuracy, empathy, and helping others navigate complex systems ? We're seeking a dedicated Claims Processor to support the timely ... and precise handling of Medicaid and Medicare claims . In this role, you'll be responsible for reviewing...coverage dates, premium status, and claim eligibility using internal systems and external sources Request and track updates or… more
- US LawShield (Houston, TX)
- …served more than 2 million people in their self-defense journey. US LawShield is seeking a Senior Data Analyst to join our data and analytics team. This role ... will be pivotal in driving data -informed decisions across the organization by delivering actionable insights,...well as collaboratively in a fast-paced environment. Knowledge of CRM, claims management systems , or member services… more
- EPIC Brokers (Dallas, TX)
- SUMMARY: The Senior Client Manager/ Team Lead works with and supports Producers, Client Advocates, Client Executives and the account team to manage client service ... and expand large and complex client relationships. This position is a senior , client-facing role responsible for directly supporting Property & Casualty Insurance… more
- Blue Iris Tech Consulting (San Antonio, TX)
- …use of tools and systems supporting Revenue Cycle operations, including: EHR systems : Oracle/Cerner CPAM Billing and claims platforms : SSI Clearinghouse, ... Blue Iris Tech is seeking a Revenue Cycle Management Integration (RCMI) Senior Solution Technical Expert (SSTE) to support the Defense Health Agency (DHA)… more
- Molina Healthcare (Houston, 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
- Amazon (Austin, TX)
- …The Program, Project, Product, and Vendor Management Team within Amazon's Logistics Claims Management and Operations group is seeking a motivated and experienced ... Senior Risk Manager. The ideal candidate will be familiar with insurance and claims programs, and insurance policies, have a history of success in procurement,… more
- Canon USA & Affiliates (Austin, TX)
- **Mgr Medical Affairs - Clinical Development Sr - HIT - req1494** **OVERVIEW** Works independently and as part of a dynamic and fast-paced team of clinical and ... and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business,… more
- Dairy Farmers of America (Arlington, TX)
- …us! **Dairy Farmers of America (DFA), Dairy Brands** has an opening for a ** Sr . Manager, Human Resources - Hybrid** position at our **Fort Worth, TX Office.** Office ... inquiries. Handle complex issues and problems and consult with senior HR leaders as needed. Manage a team of...personnel files in assigned locations + Manage Worker's Compensation claims as needed. Participate in safety and risk initiatives,… 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
- International (San Antonio, TX)
- …MES SCADA Analyst to support our Digital Transformation Journey. Supervisory Control and Data Acquisition (SCADA) systems help monitor and control operations and ... be hands-on in designing, configuring, deploying, maintaining, and improving these systems in a fast-paced, dynamic Discrete Manufacturing environment. You will… more
- NTT America, Inc. (Plano, TX)
- …competitive advantages when executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team ... At NTT DATA , we know that with the right people...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
- Sumitomo Pharma (Austin, TX)
- …computer systems . + Identifies and resolves discrepancies in submitted data invoices to ensure legitimacy of contract discounts. + Ensures detailed accuracy ... highly motivated, and experienced individual for the position of Sr . Manager, Medicaid Contract Administration. This position is responsible...of correct data input into company systems . + Maintains… more
- Evolent (Austin, TX)
- …mission. Stay for the culture. **What You'll Be Doing:** Evolent Health is looking for a Sr . Product Owner within our Common Data portfolio to be a key member of ... a technical field or relevant related field + Understanding of healthcare data formats (eg, eligibility, claims , configuration, authorizations, clinical data… 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
- Evolent (Austin, TX)
- …data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree, ... Familiarity with value-based care and utilization management is preferred + Understanding of data systems and the critical thinking skills to solve new problems… 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
- Evolent (Austin, TX)
- …skills + Microsoft Office experience (Excel, Visio) + Understanding of healthcare data formats (eg, eligibility, claims , configuration, authorizations, clinical ... You'll Be Doing:** Evolent Health is looking for a Senior Product Owner to be a key member of...key member of the Product team, focused on client data integrations. This individual will play a critical role… more
- FREEMAN (Dallas, TX)
- …events, on a mission to redefine live for a new era. With a data -driven approach and the industry' largest network of experts, Freeman's insights shape exhibitions, ... well as new technologies to deliver moments that matter. **Summary** The Senior Benefits Analyst is responsible for the analysis, administration, and continuous… more
