1513 Code Compliance Specialist jobs in Schertz,TX

Compliance Specialist

University Health

San Antonio, TX 78206

Bachelor's degree in business administration, public administration, health care administration or a related field is desired but will accept experience in lieu of education
Proficiency in Microsoft Office applications
Familiar with current Texas Medicaid regulations
Familiar with the Texas Department of Health and Human Services
Familiar with Texas Department of Insurance (TDI) regulations
Familiar with the Office of Inspector General (OIG) Compliance Plan
Familiar with the Centers for Medicare and Medicaid Services (CMS)
Familiar with health plan documents such as Summaries of Benefits and Coverage, Schedules of Benefits and Certificates of Coverage
Ability to coordinate and facilitate the execution of the company's regulatory deliverables
Ability to interpret and/or execute changes in regulations and guidelines, including HIPAA
Ability to build key relationships with regulatory agencies

University Health Careers

San Antonio, TX 78228

USAA

San Antonio, TX 78288

High School Diploma or General Equivalency Diploma.
2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
Advanced knowledge of estimating losses using Xactimate or similar tools and platforms.
Proficient knowledge of residential construction.
Proficient knowledge of property claims contracts and interpretation of case law and state laws and regulations.
Proficient negotiation, investigation, communication, and conflict resolution skills.
Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills.
Ability to travel 50-75% of the year (local & non-local) and/or work catastrophe duty when needed.
Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
Successful completion of a job-related assessment may be required.