• Director, Appeals & Grievances (Medicare…

    Molina Healthcare (San Antonio, TX)
    …Contracted Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility ... from start to finish of the claim disputes to include intake, processing , decisioning,...IPA. + 2 years supervisory/management experience with appeals/grievance and/or claims processing within a managed care setting.… more
    Molina Healthcare (07/18/25)
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  • California Workers Compensation Claims

    Sedgwick (Austin, TX)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
    Sedgwick (08/08/25)
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  • Workers Compensation Claims Examiner…

    Sedgwick (Irving, TX)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
    Sedgwick (07/18/25)
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  • Claims Team Lead Assistant - Liability…

    Sedgwick (Plano, TX)
    …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
    Sedgwick (08/08/25)
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  • Workers' Compensation Claims Manager

    Public Storage (Plano, TX)
    …of corporate workers' compensation for the Company to ensure effective and timely claims processing + Coordinate and provide information and responses required ... structured action plan to reach cost effective resolution of claims + Monitor claim activity and proper...+ A minimum of 5 years of experience in claims handling and processing is a must… more
    Public Storage (06/04/25)
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  • Claims Processor - Remote

    Cognizant (Austin, TX)
    …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 1 years claims processing is required. **Travel:** None required **About the role:** As ... * Be Responsible for reviewing the data in the claim processing system and comparing with corresponding...to be considered:** * A minimum of 1 year claims processing is required. * Knowledge of… more
    Cognizant (08/01/25)
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  • Auto Claims Adjuster - Dallas, TX. (Must…

    Sedgwick (Farmers Branch, TX)
    …documentation. Efficiently manages a case load using technology for efficient claim processing . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates ... efficiently. + Utilizes technology and automation tools for efficient claim handling. + Sends claims exceeding $15,000...tools for efficient claim handling. + Sends claims exceeding $15,000 gross loss amount to leadership for… more
    Sedgwick (07/11/25)
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  • Claims Examiner, Auto (Commercial Trucking…

    Sedgwick (Austin, TX)
    …FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly ... and risk transfer opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
    Sedgwick (08/01/25)
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  • Claims Representative Trainee - IAP (Entry…

    Sedgwick (Plano, TX)
    …under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/ processing with claimant and ... + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability...physical damage claims under close supervision. + Processing disability claims of minimal disability duration… more
    Sedgwick (07/23/25)
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  • Claims Representative - Workers…

    Sedgwick (Plano, TX)
    …under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/ processing with claimant and ... + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability...physical damage claims under close supervision. + Processing disability claims of minimal disability duration… more
    Sedgwick (07/23/25)
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