- Sedgwick (Austin, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Specialist Sr . (Repair Solutions) **PRIMARY PURPOSE:** To review all estimates ... your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...+ We offer a diverse and comprehensive benefits including medical , dental vision, 401K, PTO and more beginning your… more
- Sedgwick (Austin, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** ... **:** To analyze complex claims specific to the product liability / life sciences...deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as… more
- CVS Health (Austin, TX)
- …handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Fujifilm (Austin, TX)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... + Keep abreast of new legislation and enforcement matters relevant to the medical device industry as well as industry and compliance best practices. + Perform… more
- Centene Corporation (Austin, TX)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- CVS Health (Austin, TX)
- …containment measures to assist in the claim adjudication process. Routes and triages complex claims to Senior Claim Benefits Specialist . Proofs claim or ... and problem solve - Strong oral communication skills. Analyzes and approves routine claims that cannot be auto adjudicated. Applies medical necessity guidelines,… more
- Zodiac Pool Systems (Austin, TX)
- Field Technical Specialist Field Service Austin, Texas San Antonio, Texas Apply Description Fluidra is looking for a Field Technical Specialist to join our team ... managers + Instruct dealers on Fluidra's warranty guidelines and claims processing procedures + Represent Fluidra at local and...paid Holidays + Full range of health benefits including medical , dental & vision, short & long-term disability +… more
- Baylor Scott & White Health (Temple, TX)
- …+ Knowledge of patient registration procedures and documentation. + Knowledge of medical insurance claims procedures and documentation. Needs to have thorough ... vary based on position type and/or level **Job Summary** The Patient Services Specialist 3 offers advanced administrative support in a physician's office, clinic, or… more
- Robert Half Finance & Accounting (Austin, TX)
- Description We are looking for a detail-oriented Accounting Specialist to join our team in Austin, Texas. In this role, you will handle a variety of accounting tasks ... financial and operational reports. * Handle employee expense reports, ensuring all claims are verified and processed efficiently. * Provide administrative support to… more
- Highmark Health (Austin, TX)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- United Therapeutics (Austin, TX)
- …you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible ... team members, consultants and stakeholders + Manage Corporate Compliance Operations Specialist II, who is responsible for administration of compliance training and… more
- Highmark Health (Austin, TX)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... of financial exhibits. This is an entry level position, with oversight by Senior Underwriters and/or Management until the individual is acclimated to the Company… more
- HCA Healthcare (Round Rock, TX)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more