• Claims Care Associate

    Lincoln Financial (Austin, TX)
    …environment. You will act as a liaison between the employee (member) and the claims examiner to provide a positive customer experience during their specific ... a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence...the day, answering questions and providing information regarding their claim through the utilization of multiple applications and platforms.… more
    Lincoln Financial (09/04/25)
    - Related Jobs

  • Workforce Absence Team Lead

    Sedgwick (Irving, TX)
    …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles,...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
    Sedgwick (08/20/25)
    - Related Jobs

  • FEMA Disaster Management Accountant

    CDM Smith (San Antonio, TX)
    …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
    CDM Smith (08/01/25)
    - Related Jobs

  • OSS Coordinator

    Sedgwick (Dallas, TX)
    …policies within assigned group. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and ... Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple...operational expense check requests. + Queues claims for Managed Care; transfers payment allocations; and runs… more
    Sedgwick (07/04/25)
    - Related Jobs

  • Telephonic Case Manager

    Sedgwick (Austin, TX)
    …and support systems. + Effectively communicates and builds relationships with the claims ' examiner , client, injured worker, attorney and supervisor. + Identifies ... recovery. + Provides recommendations for alternate clinical resources to support claim resolution. + Maintains client's privacy and confidentiality, promotes client… more
    Sedgwick (09/04/25)
    - Related Jobs

  • SIU Specialist - Pharmacy Tech - Remote in…

    Prime Therapeutics (Austin, TX)
    …Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the ... or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations/ claims experience. + Ability to manage workload while simultaneously working… more
    Prime Therapeutics (06/24/25)
    - Related Jobs

  • Investigator

    Highmark Health (Austin, TX)
    …**Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) ... (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have… more
    Highmark Health (08/15/25)
    - Related Jobs