• Claims Examiner Intermediate

    OneMain Financial (Fort Worth, TX)
    Job Description ** Claims Examiner Intermediate** The Claims Examiner Intermediate is responsible for evaluating and processing claims on primarily ... with internal and external customers. + Research additional information to support claim processing. Perform benefit calculations. Conduct claim… more
    OneMain Financial (07/10/25)
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  • Claims Examiner

    NTT DATA North America (Plano, TX)
    …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Claims Examiner to join our team in Plano, Texas (US-TX), United ... States (US). + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
    NTT DATA North America (07/22/25)
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  • Claims Team Lead, Auto (BI + Liability)

    Sedgwick (San Antonio, 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 (07/26/25)
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  • Claims Team Lead - Liability

    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 (07/24/25)
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  • FEMA Disaster Management Accountant

    CDM Smith (San Antonio, TX)
    …and Evidence Gathering: Collect and organize all necessary documentation to support claim amounts. This includes gathering invoices, receipts, contracts, ... Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related… more
    CDM Smith (08/01/25)
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  • OSS Coordinator

    Sedgwick (Dallas, TX)
    …Best Workplaces in Financial Services & Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office ... policies within assigned group. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and… more
    Sedgwick (07/04/25)
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  • PCE Coordinator

    Baylor Scott & White Health (Temple, TX)
    …on position type and/or level **Job Summary** Manages detailed assessments of high-risk claims with a medical/legal plan to prevent claim elevation. Reviews and ... timely reviews, feedback, recommendations, and resolution of professional liability claims . Coordinates follow-up and collaborates with multiple reviewers to ensure… more
    Baylor Scott & White Health (07/09/25)
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  • SIU Specialist - Pharmacy Tech - Remote in…

    Prime Therapeutics (Austin, TX)
    …with a high level of detail and accuracy, to clearly and concisely support conclusions and recommendations. + MISCELLANEOUS DUTIES: + Provide backup support ... Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the...terms and policy interpretation. + CFE - Certified Fraud Examiner credential preferred. + Bachelor's degree preferred. + Prefer… more
    Prime Therapeutics (06/24/25)
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