• Field Reimbursement Manager

    Amgen (San Antonio, TX)
    …insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution + Educate offices using approved materials + Review ... + Experience in the healthcare industry, including insurance verification, claim adjudication, physician's offices or clinics, pharmacies, and/or pharmaceutical… more
    Amgen (10/02/25)
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  • Desk Review Specialist

    Kemper (Mcallen, TX)
    …facts of the claim and within Industry Standards. + Ensure adherence to claims procedures and guidelines prescribed by the company to produce a high-quality ... parts were utilized within Industry Standards. + Examine third-party Total Loss claims through photos, estimates, total loss valuations to ensure valuations are… more
    Kemper (08/24/25)
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  • Healthcare Analytics Business Consultant (SQL…

    CVS Health (TX)
    …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate...to non-technical audiences. + 2+ years experience interpreting medical claim data + Advanced experience in SQL & Python… more
    CVS Health (10/07/25)
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  • Billing associate

    Sedgwick (Dallas, TX)
    …**ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Creates accurate installment and per claim invoices for assigned clients; properly allocates revenue to appropriate ... clients and company locations. + Generates and maintains department spreadsheets. +...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
    Sedgwick (10/03/25)
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  • Medical Consultant- Remote

    UNUM (Austin, TX)
    …Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards as set forth in the Benefits… more
    UNUM (08/01/25)
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  • FEMA - Program Delivery Specialist

    CDM Smith (Austin, TX)
    …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
    CDM Smith (07/19/25)
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  • HR Specialist

    Robert Half Office Team (Spring, TX)
    …The ideal candidate will bring strong experience in workers' compensation claim investigations and FMLA administration, along with a solid background supporting ... Responsibilities + Workers' Compensation: Manage the full lifecycle of claims , including investigations, documentation, carrier coordination, and return-to-work planning.… more
    Robert Half Office Team (09/27/25)
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  • Field Reimbursement Manager

    Adecco US, Inc. (Irving, TX)
    …focused on supporting specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer ... high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient access. 3.… more
    Adecco US, Inc. (09/13/25)
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  • Human Resources Specialist

    Metro One Loss Prevention Services Group (Plano, TX)
    …of all new hire paperwork, following-up as required. . Manage all workers' compensation claims - work directly with our insurance carrier to file and provide all ... necessary claim information and identify training or process improvements to reduce future claims . . Administer benefits program - ensure accuracy of all… more
    Metro One Loss Prevention Services Group (09/01/25)
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  • Specialty Loss Adjuster

    Sedgwick (Austin, TX)
    …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... skills and grow with a company that values innovation, excellence, and employee satisfaction. Are...of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team… more
    Sedgwick (07/30/25)
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