- Sedgwick (Plano, TX)
- …great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer ( Hybrid ) Claims Team Lead - Workers Compensation | ... teams including frequent diaries on complex or high exposure claims . **OFFICE LOCATION** Plano, TX - Hybrid ...Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Performance… more
- Flexport (Dallas, TX)
- …opportunity:** The Claims Manager will be responsible for leading Flexport's Omnichannel claims team , with a focus on fulfillment claims and carrier ... to join us. As a key member of our team , you will have the opportunity to lead...This individual will oversee the day-to-day operations of the claims department, manage a global team of… more
- The Cigna Group (Plano, TX)
- **Summary** The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy, performing research and analysis within the Clinical, ... STARS, and Risk Adjustment Analytics team . Reporting to the Senior Manager of Clinical &...Customer Data Science, the data scientist will analyze healthcare claims , clinical outcomes, customer enrollment patterns, and financial information… more
- The Cigna Group (Plano, TX)
- …Strategic Analytics. Reporting to the Manager of Care Management Analytics, the lead analyst will analyze healthcare claims and clinical outcomes associated ... **Summary** The Business Analytics Lead Analyst will be responsible for performing reporting...with various care management initiatives. The Care Management Analytics team seeks to provide operational and analytical support to… more
- The Cigna Group (Plano, TX)
- **Summary** The Business Analytics Lead Analyst will be an individual contributor responsible for supporting the analytics strategy for Medicare Health Services, ... performing research and analysis within the Clinical Analytics team . This role will help us accomplish this through...data management with SQL and/or Teradata + Experience with claims analytics and/or clinical data + Experience with business… more
- Sedgwick (Irving, TX)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workforce Absence Management Team Lead **Our teams connect! We collaborate onsite and have ... a hybrid work arrangement. All candidates must live near one...multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training,… more
- Baylor Scott & White Health (Dallas, TX)
- …management, programming, and technical training, as well as the ability to lead complex data initiatives in the absence of established standard operating procedures. ... teams by querying patient encounters, diagnoses, procedures, and Medicare claims within the EPIC EHR system. o Write and...processing.oAbility to work independently and as part of a team . As a health care system committed to improving… more
- Elevance Health (Grand Prairie, TX)
- …Coordinator - RN Lead Clinician (US)** is responsible for leading a team and assisting management with day to day activities, such as workforce management and ... in conjunction with the member and the health care team . + Manages members with chronic illnesses, co-morbidities, and/or...treatment plans. + Assists in problem solving with providers, claims or service issues. Serves as the first line… more
- Zurich NA (Addison, TX)
- …Parsippany NJ; or Rocky Hill, CT With moderate oversight, leads and directs a team of technical Claims Professionals in Commercial General Liability claims . ... product development, customer/broker stewardship, and prospect meetings. + Motivate and lead a high-performance team by attracting, onboarding, recruiting, and… more
- Sedgwick (Irving, TX)
- …on the information received, to approve complex claims or make a recommendation to team lead to deny claims based on the requirements. + Analyzes and ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Advocacy Coordination Team Specialist **Our teams connect! We collaborate onsite and have a … more
- Sedgwick (Irving, TX)
- …the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. + ... **Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one...the claimant's physician and employer. + Refers cases to team lead and clinical case management for… more
- Sedgwick (Irving, TX)
- …via the claimants physician and employer. + Refers cases as appropriate to team lead and clinical case management. + Maintains professional client relationships. ... Sr. Disability Representative **Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of… more
- Zurich NA (Addison, TX)
- …of business to increase product density with the account. + Participate in Sales Team meeting as related to assigned brokers and / or territory. + Proactively engage ... to development of u/w manuals, programs and guidelines. + Lead complex technical or long-term (over 6 months) business...and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship… more
- AECOM (Dallas, TX)
- …your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and ... and tangible impact around the world. We're one global team driven by our common purpose to deliver a...and minimize client exposure. + Proactively work to avoid claims and resolve claims expeditiously to minimize… more
- Elevance Health (Grand Prairie, TX)
- **Provider Contract Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will live ... Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider… more
- Deloitte (Dallas, TX)
- …and industry depth by harnessing deep sector knowledge, scaling the power of hybrid services and products, and unlocking the power of Process Bionics to deliver ... Insurance, Telecom, Media and Energy & Resources. Our OTT team brings clients the knowledge of industry leaders who...deliver effective solutions to clients. You will be the lead person to interface between the clients and our… more
- Deloitte (Dallas, TX)
- …and industry depth by harnessing deep sector knowledge, scaling the power of hybrid services and products, and unlocking the power of Process Bionics to deliver ... Insurance, Telecom, Media and Energy & Resources. Our OTT team brings clients the knowledge of industry leaders who...deliver effective solutions to clients. You will be the lead person to interface between the clients and our… more
- Deloitte (Dallas, TX)
- …and industry depth by harnessing deep sector knowledge, scaling the power of hybrid services and products, and unlocking the power of Process Bionics to deliver ... Insurance, Telecom, Media and Energy & Resources. Our OTT team brings clients the knowledge of industry leaders who...deliver effective solutions to clients. You will be the lead person to interface between the clients and our… more
- CVS Health (Irving, TX)
- …Aetna is recruiting for an Executive Director, Claim Platform Quality Assurance for the Claims Center of Excellence Automation team who will own the design and ... execution of the organization's claim platform test strategy. Lead programs for test domains, associated applications, and functional testing support teams. Develop… more