- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… more
- Sedgwick (Austin, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation | Jurisdiction: Multi State | ... or equivalent combination of education and experience or successful completion of Claims Representative training required. Jurisdiction: Multi State - 15 states… more
- Sedgwick (Austin, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Ryder System (Austin, TX)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Black & Veatch (Austin, TX)
- **Construction Project Representative - Water - Loudoun County 1** Date: Dec 10, 2025 Location: Dallas, TX, US TX, US Company: Black & Veatch Family of Companies We ... and decommissioning and field engineering. Be the day-to-day on-site representative of the Owner(s) and look out for their...* Participate with GC personnel in QA/QC activities * Review , certify and file the field testing reports. o… more
- Humana (Austin, TX)
- …where your expertise truly makes an impact! As a Grievances & Appeals Representative , you'll be a go-to problem solver, turning complex challenges into clear ... that information is accurate. + Forwards appeals to CMS entity for further review . + Investigates and resolves member and practitioner issues. + Works within broad… more
- Highmark Health (Austin, TX)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Ryder System (Austin, TX)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Highmark Health (Austin, TX)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- CVS Health (Austin, TX)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
- Black & Veatch (Austin, TX)
- …control, start up and decommissioning and field engineering. Be the day-to-day on-site representative of the Owner(s) and look out for their best interest. Be the ... + Participate with GC personnel in QA/QC activities + Review , certify and file the field testing reports. +...Verify materials/equipment and associated documentation for any stored materials claims + Verify that all other deliverables have been… more
- HCA Healthcare (Austin, TX)
- …We want you to apply! **Job Summary and Qualifications** As the Collections Representative , you will contribute to the company's mission, vision, and values by ... work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims...our Insurance Collections Specialist - CBO opening. We promptly review all applications. Highly qualified candidates will be directly… more
- Prime Therapeutics (Austin, TX)
- …with various levels of leadership within the organization, acting as a representative of the broader Financial Systems team + Provide consulting services to ... experience, preferably leveraging AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in… more
- Pedernales Electric Cooperative (Cedar Park, TX)
- …+ Update the UC mapping system + Participate in the process for damage claims + Resolve customer complaints and answer customers' questions + Provide employees with ... procedures and company policies to staff + Develop and review operating procedures + Establish work priorities and activities...and Work Environment The physical demands described here are representative of those that must be met by an… more
- Allied Universal (Austin, TX)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... and timely workload management to meet assignment time completion. + Review and verify credentials, including education, training, licensure, and certification, for… more
- Hoar Construction (Austin, TX)
- …progress and status of the project, including input from contractor. + Support claims and variance analysis reporting with MS Project, Access, Primavera, and Excel ... multiple building sites to PM team. + Ability to review invoices versus contractually agreed upon terms and conditions....**Physical Demands and Working Environment:** _The conditions herein are representative of those that must be met by an… more