• Claims Investigator

    Allied Solutions (Plano, TX)
    Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. ... others as assigned. This position will involve the initial processing and investigation of 20-40 claims per...claims per day. This position ensures that all claim documentation is thoroughly reviewed and assessed for coverage… more
    Allied Solutions (07/13/25)
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  • Claims Specialist, Professional Liability

    Sedgwick (Austin, TX)
    …by limited investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
    Sedgwick (09/30/25)
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  • Claims Advisor, Professional Liability

    Sedgwick (Fort Worth, TX)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
    Sedgwick (09/07/25)
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  • Claims Process Executive (remote)

    Cognizant (Austin, TX)
    …Claim Processors will review claim submissions, verify information, adjudicate the claim as per claim processing guidelines to ensure appropriate ... Claims Process Executive (remote)** **JOB PURPOSE:** ...mandated government and state regulations are consistently met + Processing claims for multiple plans with automated… more
    Cognizant (10/04/25)
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  • Senior Claim Benefit Specialist - Stop Loss…

    CVS Health (TX)
    …stop loss carrier. **Required Qualifications** *Minimum of 1 year of experience in healthcare claims processing *Minimum of 2 years of experience with the suite ... challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker… more
    CVS Health (10/05/25)
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  • Claims Specialist, General Liability…

    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 (09/18/25)
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  • Claims Examiner | General Liability BI…

    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 (09/06/25)
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  • Medical Claims Processor - Remote

    Cognizant (Austin, TX)
    …Plan Document. **Role Responsibilities** + Responsible for reviewing the data in the claim processing system (Facets) and comparing it with the corresponding UB, ... and criteria has been met. + Responsible for reviewing claim and line item edits and warning messages for...required + A minimum of 1 years of medical claims processing is required + Facets experience… more
    Cognizant (10/02/25)
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  • Complex Claims Advisor | Commercial GL…

    Sedgwick (Austin, TX)
    …expertise preferred. **Skills & Knowledge** + Subject matter expertise in worker's compensation claims and/or liability claims processing + Ability to obtain ... FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional… more
    Sedgwick (09/25/25)
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  • Commercial Property Claims Desk Adjuster…

    Sedgwick (Houston, TX)
    …documentation. Efficiently manages a case load using technology for efficient claim processing . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Property Claims Desk Adjuster - Remote after training **PRIMARY PURPOSE** **:** Handles… more
    Sedgwick (07/29/25)
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