- 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..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… 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 Claims . ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Elevance Health (Grand Prairie, TX)
- …cycles. + Provide subject matter expertise in US healthcare, especially in claims adjudication, encounter submissions, and resolution of transaction rejections ... and insightful analytics to improve the delivery of care.** **Title:** Business Analyst III **Location(s):** Latham, NY, Richmond, VA, Ashburn, VA, Indianapolis, IN,… more
- Molina Healthcare (Fort Worth, TX)
- …understanding of Molina claims life cycle and all processes that affect claims payment + Participates in defect resolution for assigned component + ... review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution… more
- CVS Health (Irving, TX)
- …Transmission (CET Files) on behalf of our Clients and their vendors. The Claims Data Reporting Analyst will have primary responsibility and ownership of ... to clients and vendors and the timely and complete resolution of related issues and requests including the monitoring...issues and requests including the monitoring of outbound files, resolution of errors and the creation of ongoing and… more
- Molina Healthcare (Fort Worth, TX)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... system and other applicable systems. + Participates in defect resolution for assigned component + Assists with development of...Benefits and contracts configuration in QNXT + Must have claims processing experience + Knowledge is SQL + Experience… more
- Brown-Forman (Dallas, TX)
- …property insurance claim settlement activities, including both insured and self-insured claims , ensuring accurate records and facilitating efficient resolution ... processes. + _Drive Continuous Improvement:_ Actively seek opportunities to enhance efficiency and effectiveness within the property insurance programs, developing and administering insurance analytics to provide deeper insights and optimize decision-making.… more
- HUB International (Argyle, TX)
- …+ Provides benchmarking reports to client (annually, quarterly or monthly) + Manages claims and coverage issue resolution for clients' employees when elevated ... and understanding client needs. Serves as day-to-day contact and provides resolution for client questions and issues. **Duties and Responsibilities:** + Maintains… more