1340 jobs found

The Appeals Representative is responsible for reviewing, analyzing, and addressing provider inquiries and appeals via email, fax, telephone, or written correspondence in accordance with regulatory guidelines, client policy and instructions, and industry standards, along with CMS and state guidelines. This role ensures that all appeals are set up accurately and in a timely manner, supporting the appeal process efficiently.    ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receiving and analyzing appeal documentation to determine appropriate actions Accurately setting up and initiating the appeals process timely, ensuring information aligns with provided documents Ensure compliance with HIPAA, CMS guidelines, and client instructions and policy standards Utilize applicable tools and resources to complete setup Additional duties as assigned   KNOWLEDGE & SKILLS: Knowledge of Medicare, Medicaid, and commercial insurance guidelines Strong attention to...

The Appeals Representative is responsible for reviewing, analyzing, and addressing provider inquiries and appeals via email, fax, telephone, or written correspondence in accordance with regulatory guidelines, client policy and instructions, and industry standards, along with CMS and state guidelines. This role ensures that all appeals are set up accurately and in a timely manner, supporting the appeal process efficiently.    ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receiving and analyzing appeal documentation to determine appropriate actions Accurately setting up and initiating the appeals process timely, ensuring information aligns with provided documents Ensure compliance with HIPAA, CMS guidelines, and client instructions and policy standards Utilize applicable tools and resources to complete setup Additional duties as assigned   KNOWLEDGE & SKILLS: Knowledge of Medicare, Medicaid, and commercial insurance guidelines Strong attention to...

The Setup Team Lead is responsible for assisting and supporting the Setup Supervisor with ensuring the Setup Team meets protocol. This role will assist with supervisory functions when the Setup Supervisor is absent. The Setup Team Lead is responsible for ½ production. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Must maintain ½ production quota Organize and distribute claims according to established priority Provide guidance to analysts, aiding with resolution of problems or questions Process complex/problematic claims according to protocol Maintain production standards and production requirements Comply with standard protocol for processing problem claims Function as liaison between analysts and clients Professionally communicate with other offices and internal departments Train new team members Assist co-workers, supervisor and management in accomplishing production goals Maintain HIPAA compliance in all aspects of...

The Closing Analyst is responsible for closing client files and applying results into Scheck and CareMC systems to meet daily production expectation and standards. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Close client files in the appropriate manner, dictated by client protocol Ensure all appropriate documentation is attached and follow departmental QC protocols Complete special task assigned by supervisor/manager Additional duties/responsibilities as assigned Comply with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program (“IIPP”), as well as, maintain HIPAA compliance   KNOWLEDGE & SKILLS: Detail Oriented with Good organizational skills Effective and professional communication skills Demonstrated problem solving, and analytical skills Ability to think and work independently, while working in an overall team environment Ability to work in a fast paced/production...

Role Overview The Senior Operations Coordinator plays a vital role in ensuring the organization runs efficiently and effectively. This individual helps assist in day-to-day operational processes, helps implement data-driven improvements that support organizational growth and excellence. The ideal candidate is highly organized, proactive, and detail-oriented — someone who anticipates needs and thrives in a dynamic, fast-paced environment. What the Senior Operations Coordinator Handles What This Allows the Organization to Achieve Day-to-day operational processes & workflows Leadership can focus on strategy and growth Vendor management, procurement & contracts Cost-effective, compliant purchasing practices Financial admin: deposits, payments & invoicing Accurate, timely financial operations Facilities, access cards & office administration A well-run, secure, and productive workplace Key Responsibilities Helping oversee and improve day-to-day...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This highly collaborative role supports all departments and branch offices and serves as a key point of contact for agents, clients, and internal stakeholders. The position plays an essential role in representing the Company and requires a professional demeanor, a positive and welcoming attitude, a polished appearance, and excellent interpersonal skills. Reliability, punctuality, and strong organizational abilities are critical to success in this role. In this position, you will manage front-facing...

Why GM Financial? GM Financial is the wholly owned captive finance subsidiary of General Motors and is headquartered in Fort Worth, U.S. We are a global provider of auto finance solutions, with operations in North America, South America, and the Asia Pacific region. Through our long-standing relationships with auto dealers, we offer attractive retail financing and lease programs to meet the needs of each customer. We also offer commercial lending products to dealers to help them finance and grow their businesses. At GM Financial, our team members define and shape our culture — an environment that welcomes new ideas, fosters integrity, and creates a sense of community and belonging. Here we do more than work — we thrive. Our Purpose:  We pioneer the innovations that move and connect people to what matters.   This position will be posted until filled.  About the role The Strategic Initiatives Analyst I will support the development and deployment of GM Financial's...

Why GM Financial Technology Innovation isn’t just a talking point at GM Financial, it’s how we operate. From generative AI and cloud-native technologies to peer-led learning and hackathons, our tech teams are building real solutions that make a difference. We’re committed to AI-powered transformation, using advanced machine learning and automation to help us reimagine customer interactions and modernize operations, positioning GM Financial as a leader in digital innovation within a dynamic industry. Join us and discover a workplace where your ideas matter, your development is prioritized, and you can truly make a global impact. About the role:  The Lead Systems Architect – Agentic AI holds a critical role at the intersection of enterprise architecture, emerging AI capabilities, and business value realization. This role serves both as a technical strategist and a hands-on architecture leader, with a strong emphasis on evaluating how Agentic AI and GenAI capabilities can be...

Why GMF Cybersecurity? Innovation isn’t just a talking point at GM Financial, it’s how we operate. By joining our team, you’ll work in a mission-focused environment with specialized teams, including Engineering, Threat Intelligence, Vulnerability Management, Incident Response, Firewall, Governance, Risk, Architecture and Offensive Security. These teams collaborate to identify, manage and respond to threats, all while driving innovation across the environment. Cybersecurity is central to our strategic vision, so you’ll benefit from exceptional leadership visibility, with direct reporting lines to the CEO. This structure ensures your work is recognized and supported at the highest levels, while also enabling bold innovation and the adoption of cutting-edge technologies. Shape the future of Cybersecurity at GM Financial, with the freedom to explore, the tools to build and the support to thrive.  This position will be posted until filled. About the role:  The...

Why Global Procurement at GM Financial?   Global Procurement at GM Financial is a strategic, high-impact team that manages sourcing, contracts, and supplier relationships across the organization. You’ll work with advanced processes, tools, and policies to drive efficiency and innovation, while collaborating with business units and suppliers worldwide. The role offers opportunities for professional growth, leadership, and exposure to diverse procurement operations, making it an ideal environment for those seeking to deliver value and shape the company’s future.   At GM Financial, our team members define and shape our culture — an environment that welcomes new ideas, fosters integrity, and creates a sense of community and belonging. Here we do more than work — we thrive.   Our Purpose: We pioneer the innovations that move and connect people to what matters.     About the role: A Senior Procurement Analyst applies analytical, legal, technical, and industry...

Position Title Credit Products Specialist II   Location Work From Home TX, TX 73301   Job Summary The Credit Products Specialist II plays a key role in structuring and underwriting complex commercial credit transactions while managing an assigned loan portfolio. This position is responsible for independently analyzing credit risk, negotiating loan terms, and providing strategic recommendations to relationship and credit teams. By proactively monitoring portfolio performance and identifying emerging risks, this role ensures sound credit decisions and long-term client success. The position also supports the professional development of junior team members by sharing expertise and best practices.   Job Responsibilities: JOB RESPONSIBILITIES Credit Structuring & Underwriting : Lead underwriting efforts for complex loan requests, assessing creditworthiness and recommending risk-mitigating structures. Portfolio & Risk Management : Continuously monitor assigned...

Position Title Credit Products Specialist I   Location Work From Home TX, TX 73301   Job Summary The Credit Products Specialist I supports the underwriting, structuring, and management of commercial credit relationships. This role exists to provide critical financial analysis, assist in risk assessment, and ensure sound credit decision-making. As a key partner to Relationship Managers (RMs), this position helps structure new loan transactions, conduct portfolio monitoring, and identify potential risks. The role provides foundational credit expertise and exposure to client relationships, supporting the bank’s commitment to responsible lending and portfolio growth.   Job Responsibilities: JOB RESPONSIBILITIES Loan Structuring & Underwriting : Assist RMs in analyzing financial statements, assessing borrower creditworthiness, and preparing credit approval packages. Portfolio Management : Monitor financial trends, covenant compliance, and borrowing bases to...

Job Description IT Project Manager ______________________________________________________________________________ Build the future with us Are you eager to contribute to the purpose of a company that aims to help its clients feel confident and secure about their future? As an IT Project Manager, you will play a key role in improving execution, scalability, and operational maturity across the IT organization. This position is a great opportunity to showcase your skills and fully realize your potential within a caring and trustworthy company. Here, people and their development are at the heart of our priorities, fostering an environment that encourages collaboration and innovation. _____________________________________________________________________________ What you’ll accomplish with us As an IT Project Manager, you’ll be at the core of our mission. Here are the main responsibilities: Lead end-to-end planning and...

Client Manager, Premier Do you have a passion for doing the right thing for customers and making their experience the best they could possibly imagine?  Are you a team player who is adept at collaborating across internal teams?  Is a culture where “People Count,” “We Do the Right Thing,” and “We Hold Ourselves to Very High Standards” important to you? If so, Guardian is seeking a Client Manager who will be the main contact for client relationships. This role is directly accountable for client retention, satisfaction, and enhancing the client experience. You are A proactive client advocate focused on delivering an exceptional customer experience A relationship builder who partners effectively with clients, brokers, and internal teams A strategic thinker who uses data and insights to drive client retention, satisfaction, and growth A consultative problem-solver who aligns tailored benefit solutions to client needs A collaborative team player who thrives in...

Guardian's Group Benefits team is hiring a Sales Support Associate in the Plano, TX area. The Sales Support Associate provides operational support, working closely with sales, client management, sales support, and leadership teams to ensure system and information accuracy, materials are prepared and delivered on time, as well as project management support. You Will: Manage market general email box to direct and process inquiries Serve as a key point of contact for broker inquiries related to licensing status, appointment needs, changes, and system updates Maintain system records for accuracy Lead the development and delivery of specialized reporting  for leadership, enabling accurate forecasting and ongoing tracking against strategic goals Translate complex data into clear, actionable insights that support decision making and drive performance accountability Support special projects and event coordination Package outgoing mail/shipments as needed...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Data Analyst PRIMARY PURPOSE  To collect, analyze and report data; to be responsible for the data integrity; and to generate reports verifying and ensuring data integrity and accuracy. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Compiles data; prepares and distributes reports; and analyzes results. Ensures data integrity; develops and produces reports utilized in measuring data accuracy. May assist in the completion of appropriate client set-up and maintenance...

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: Leads end-to-end program delivery and adoption of CRC Specialty’s digital products (including REDY). Translates product strategy into executable program plans, timelines, and operating processes that drive coordinated delivery, sustained adoption, and measurable business impact. Key Responsibilities Own end-to-end program planning and execution, translating product roadmaps into structured...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity Member Demand Generation Marketing is fundamental to deepening member relationships with USAA. This role will significantly enhance our analytical expertise in Member Demand Generation Marketing, enabling data-driven optimizations that accelerate business performance across the entire member lifecycle. The ideal candidate...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity Leads Marketing is essential for capturing and converting individuals with a demonstrated interest in our offerings. This position will significantly contribute to growing our analytical expertise in Leads Marketing and executing data-driven optimizations to accelerate business performance. The ideal candidate will...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Great American has been providing surety bonds for 100 years. We are known for expert underwriting, solid financial strength, market leadership and creative solutions to bonding needs. We are one of the top surety companies in the United States and hiring a Contract Surety...