• 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 ... line by performing all functions required to determine if the claim is or is not payable/deferred/or cancelled. This position provides correspondence… more
    OneMain Financial (07/10/25)
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  • Claims Examiner

    NTT America, Inc. (Plano, TX)
    …as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role Responsibilities** ... -Processing of Professional claim forms files by provider -Reviewing the policies and...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
    NTT America, Inc. (07/24/25)
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  • Medical Claims Examiner - Remote US

    NTT DATA North America (Dallas, TX)
    NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or Xcelys experience is a plus) Must be able to work Monday to Friday 7 AM to 4 PM ... be responsible for: + Processing of Professional and Hospital 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 (07/18/25)
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  • Claims Examiner

    NTT America, Inc. (Plano, TX)
    **In this Role the candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies and benefits + Comply ... Work independently to research, review and act on the claims + Prioritize work and adjudicate claims ...applications using a keyboard, navigating multiple screens and computer systems , and learning new software tools + High school… more
    NTT America, Inc. (07/16/25)
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  • Associate Analyst, Claims - Hybrid

    XPO, Inc. (North Richland Hills, TX)
    …skills Preferred qualifications: + 1 or more years of experience as a cargo claims examiner , analyst or in a similar capacity working with liability and ... and tariffs, transportation contracts and agreements and the National Motor Freight Classification system + Knowledge of risk reduction and claims process +… more
    XPO, Inc. (07/12/25)
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  • Specialist, Configuration Oversight

    Molina Healthcare (Houston, TX)
    …is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it ... written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims processing… more
    Molina Healthcare (07/18/25)
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  • RN Crisis Care Triage

    Sedgwick (Austin, TX)
    … claim . + Maintains communication with the customer, Client Service Director, and Claims Examiner providing timely updates on changes in injured worker status ... is professionally documented and enters incident data into computer system . + Educates the assigned FCM on Sedgwick benchmarks...ongoing communication with the client, Client Service Director, and Claims Examiner until the assigned Field Case… more
    Sedgwick (07/25/25)
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  • OSS Coordinator

    Sedgwick (Dallas, TX)
    …Services & Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; ... 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 ... families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:… more
    Baylor Scott & White Health (07/09/25)
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  • Investigator, Special Investigative Unit…

    Molina Healthcare (San Antonio, TX)
    …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... + Documents appropriately all case related information in the case management system in an accurate manner, including storage of case documentation following SIU… more
    Molina Healthcare (07/24/25)
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