Claims Processing Manager Jobs in Houston, TX (NOW HIRING)

Manage claims submission workflows including electronic claim generation, clearinghouse edits, and ... Application Process (Takes 20-30 mins to complete) * Upload resume * AI interview based on your ...

To provide Absence case management and claim adjudications, based on medical documentation and the ... of claims process either by phone and/or written correspondence. Reviews client critical ...

You will be responsible for reviewing cargo incident reports, verifying complex transit documentation, managing filed claims, and processing standard cargo payouts. Your expertise ensures financial ...

This is a contract position with IQVIA , managed by an external agency, with the potential to ... Evaluate claims against program-specific business rules todetermineapproval or rejection.

Position Description What You'll Do As our Claims Specialist, you'll help manage the day-to-day claims process for designated Sterling business units, including: * * Manage Workers' Compensation ...

Process billing for in-network and out-of-network medical claims . * Review and resubmit claims ... Ability to manage changing priorities in a fast-paced environment. * Proficiency with Microsoft ...

Whether you're managing claims, supporting clients, or improving processes, you'll play a vital role in helping businesses and individuals move forward with confidence. Here, you'll be supported by a ...

Summary/Objective The Risk & Claims Manager will serve as the internal subject matter expert for ... Advising on coverage and claims processes, maintaining familiarity with all insurance coverage.

Define test strategies, test plans, execution approaches, and quality governance processes. Manage testing teams, providing technical guidance, mentoring, and delivery oversight. Oversee claims ...

This is a contract position with IQVIA , managed by an external agency, with the potential to ... Evaluate claims against program-specific business rules todetermineapproval or rejection.

Whether you're managing claims, supporting clients, or improving processes, you'll play a vital role in helping businesses and individuals move forward with confidence. Here, you'll be supported by a ...

Whether you're managing claims, supporting clients, or improving processes, you'll play a vital role in helping businesses and individuals move forward with confidence. Here, you'll be supported by a ...

Manages the COI process * Oversight of OCIP and CCIP insurance processes and timely claims reporting * Supports the renewal process by gathering and reporting incurred claims data for each line of ...

Manages the COI process * Oversight of OCIP and CCIP insurance processes and timely claims reporting * Supports the renewal process by gathering and reporting incurred claims data for each line of ...

Manages the COI process * Oversight of OCIP and CCIP insurance processes and timely claims reporting * Supports the renewal process by gathering and reporting incurred claims data for each line of ...

Manages the COI process* Oversight of OCIP and CCIP insurance processes and timely claims reporting* Supports the renewal process by gathering and reporting incurred claims data for each line of ...

Timely reports of claims and preserves the rights of the company under the insurance terms; manages the COI process; oversees OCIP and CCIP insurance processes; supports renewal by gathering and ...

Whether you're managing claims, supporting clients, or improving processes, you'll play a vital role in helping businesses and individuals move forward with confidence. Here, you'll be supported by a ...

Reviews client critical deliverables, manages the overall workload, and second-level process escalation. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers ...

Risk Claims Manager Department: Compliance Job Status: Exempt Compensation: Direct Reports: Yes ... Knowledge of statistical process control desirable.