Associate Director, Claims Compliance Oscar Health InsuranceAssociate Director, Claims ComplianceDallas, TXRemote$134,136–$176,053 / yearThis role is responsible for ensuring adherence to state and federal regulations, working directly with regulators on exams and investigations, and partnering across Insurance Operations and cross-functionally to ensure processes and workflows are in place to strengthen claims compliance. Collaborate and communicate with other departments on claims issues, related projects and inter-departmental operations issues while developing effective, actionable solutions.
Associate Director, Claims Compliance Oscar Health IncAssociate Director, Claims ComplianceDallas, TXRemote$134,136–$176,053 / yearThis role is responsible for ensuring adherence to state and federal regulations, working directly with regulators on exams and investigations, and partnering across Insurance Operations and cross-functionally to ensure processes and workflows are in place to strengthen claims compliance. Collaborate and communicate with other departments on claims issues, related projects and inter-departmental operations issues while developing effective, actionable solutions.
Reimbursement Coordinator I Non Medicare RNB Enhabit IncReimbursement Coordinator I Non Medicare RNBDallas, TXRemote$16–$20 / hourEnhabit does not waive this essential function by permitting duties to be performed remotely on occasion to accommodate temporary personal needs, such as appointments, or to operate in crises beyond its control, such as during a natural disaster or pandemic. Submit clean claims timely and appropriately to various insurance companies; complete submissions electronically or by paper according to payor guidelines.
Reimbursement Coordinator I Non-Medicare RNB Enhabit Home Health & HospiceReimbursement Coordinator I Non-Medicare RNBDallas, TXRemote$16–$20 / hourEnhabit does not waive this essential function by permitting duties to be performed remotely on occasion to accommodate temporary personal needs, such as appointments, or to operate in crises beyond its control, such as during a natural disaster or pandemic. Submit clean claims timely and appropriately to various insurance companies; complete submissions electronically or by paper according to payor guidelines.
NewSr. Claims Examiner, Program Claims Markel Group IncSr. Claims Examiner, Program ClaimsPlano, TXRemote$78,000–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. This includes evaluation of coverage, assessment of legal liability (where relevant) and exposure analysis, to bring the matters to a timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
Project Commercial Contracts Manager (site-based, renewables construction) Wanzek ConstructionProject Commercial Contracts Manager (site-based, renewables construction)Dallas, TexasRemote$102,000–$130,000 / yearFull timeThis position will be responsible for administration of EPC contracts in conjunction with project leadership, including risk identification and management during project execution, providing input during pre-construction activities and negotiations as required, and for coordinating directly with the site leadership, Commercial, and Legal teams to pro-actively monitor and manage contractual terms, draft notices, and coordinate change order administration. Assist the project team in administering project contracts, including drafting notices to clients in accordance with contractual requirements such as those pertaining to force majeure, owner-caused delays, and other contractual matters requiring notices.
Account Follow-Up Representative I Harris Computer SystemsAccount Follow-Up Representative IColorado, TXRemote$18–$26 / hourTimely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient's insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals.
Project Commercial Contracts Manager (site-based, renewables construction) MasTec IncProject Commercial Contracts Manager (site-based, renewables construction)Dallas, TexasRemote$102,000–$130,000 / yearFull timeThis position will be responsible for administration of EPC contracts in conjunction with project leadership, including risk identification and management during project execution, providing input during pre-construction activities and negotiations as required, and for coordinating directly with the site leadership, Commercial, and Legal teams to pro-actively monitor and manage contractual terms, draft notices, and coordinate change order administration. Assist the project team in administering project contracts, including drafting notices to clients in accordance with contractual requirements such as those pertaining to force majeure, owner-caused delays, and other contractual matters requiring notices.
Project Commercial Contracts Manager (site-based, renewables construction) CEI ServicesProject Commercial Contracts Manager (site-based, renewables construction)Dallas, TexasRemote$102,000–$130,000 / yearFull timeThis position will be responsible for administration of EPC contracts in conjunction with project leadership, including risk identification and management during project execution, providing input during pre-construction activities and negotiations as required, and for coordinating directly with the site leadership, Commercial, and Legal teams to pro-actively monitor and manage contractual terms, draft notices, and coordinate change order administration. Assist the project team in administering project contracts, including drafting notices to clients in accordance with contractual requirements such as those pertaining to force majeure, owner-caused delays, and other contractual matters requiring notices.
Project Commercial Contracts Manager (site-based, renewables construction) Wanzek Construction IncProject Commercial Contracts Manager (site-based, renewables construction)Dallas, TXRemote$102,000–$130,000 / yearThis position will be responsible for administration of EPC contracts in conjunction with project leadership, including risk identification and management during project execution, providing input during pre-construction activities and negotiations as required, and for coordinating directly with the site leadership, Commercial, and Legal teams to pro-actively monitor and manage contractual terms, draft notices, and coordinate change order administration. Company Overview MasTec Renewables, comprised of Wanzek Construction, IEA Constructors, and White Construction, combines over 20 years of experience in renewable energy construction.
Senior Fire Investigator, IAAI-CFI EFI Global IncSenior Fire Investigator, IAAI-CFIIrving, TXRemoteOver the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global leader in engineering failure analysis, origin-and-cause investigations, environmental consulting, laboratory testing and specialty consulting. Possesses necessary knowledge and expertise required to conduct thorough inspection of available public records including land deeds, mortgages, liens, suits, judgments, marriage and divorce records, etc.
NewCollections Specialist Vital Care Infusion ServicesCollections SpecialistDallas, TexasRemoteAnalyze denials, identify trends, and recommend process improvement opportunities that will result in DSO reduction, superior collection rate, intervals reduced bad debt and simplified processes that are responsive to the requirements of specific payers. Required Skills/Abilities: Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts.
Mechanical/Electrical Engineer Keystone Experts + EngineersMechanical/Electrical EngineerDallas, TexasRemoteWe are seeking licensed (PE) Mechanical/Electrical Engineers with experience completing forensic investigations to determine the cause and origin of various site issues; root cause analysis, commissioning and condition assessments correlate and weather-related damage to residential, commercial and industrial properties. replace after storm/hail damage, cause of damage – wind/hail, improper maintenance, improper installation or product defect of boilers, chillers, pumps, plumbing and heating systems.
Claims Examiner - Workers Compensation VytwoClaims Examiner - Workers CompensationDallas, TXRemoteFull timeExcellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations. To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
Guidewire Developer-Claimcenter Kemper Corp.Guidewire Developer-ClaimcenterRichardson, TXRemote$89,000–$148,100 / yearAlpharetta, Georgia, Birmingham, Alabama, Boston, Massachusetts, Chicago, Illinois, Cleveland, Ohio, Columbus, Ohio, Downers Grove, Illinois, Jacksonville, Florida, P&C-Ingram Rd-San Antonio-TX, Remote-CT, Remote-GA, Remote-IL, Remote-IN, Remote-OH, Remote-PA, Remote-TX, Remote-VA, Richardson, Texas, Tampa, Florida. You will work on Guidewire ClaimCenter and its surrounding middleware (Java/SpringBoot, AWS SQS/SNS, AWS Lambdas, AWS PostgreSQL, etc…).
Senior Fire Investigator, Iaai-Cfi EFI GlobalSenior Fire Investigator, Iaai-CfiDallas, TXRemoteOver the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global leader in engineering failure analysis, origin-and-cause investigations, environmental consulting, laboratory testing and specialty consulting. Possesses necessary knowledge and expertise required to conduct thorough inspection of available public records including land deeds, mortgages, liens, suits, judgments, marriage and divorce records, etc.
Senior Fire Investigator, IAAI-CFI EFI GlobalSenior Fire Investigator, IAAI-CFIDallas, TexasRemoteOver the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global leader in engineering failure analysis, origin-and-cause investigations, environmental consulting, laboratory testing and specialty consulting. Possesses necessary knowledge and expertise required to conduct thorough inspection of available public records including land deeds, mortgages, liens, suits, judgments, marriage and divorce records, etc.
Multi-Jurisdiction Claims Adjuster – Auto & Property Damage (National Accounts) CCMSIMulti-Jurisdiction Claims Adjuster – Auto & Property Damage (National Accounts)Dallas, TexasRemote$75,000–$85,000 / yearAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. The successful candidate will handle claims across multiple jurisdictions and must possess a strong understanding of coverage interpretation, damage evaluation, liability investigation, reserve management, and claim resolution strategies.
Claims Associate SilverXisClaims AssociateIrving, TexasRemoteTheClaims Business Associate will perform all the duties necessary to ensure groupmembers and providers receive proper payment of policy benefits in a timelymanner, while providing excellent customer service. A working knowledge of ICD10, CPT codesand HIPAA guidelines; knowledge of medical terminology.
NewCommercial Trucking - Claims Manager [940] TCI TransportationCommercial Trucking - Claims Manager [940]Dallas, TexasRemote$125,000–$150,000 / yearTCI Transportation is seeking a hands-on Claims Manager to lead our day-to-day claims function, develop our in-house adjusters, oversee our third-party administrator, and personally negotiate the claims that require experienced judgment. Take ownership of high-exposure and difficult bodily injury claims, working directly with unrepresented claimants and plaintiff counsel to pursue fair, practical resolutions.