• Claims Adjudication Specialist

    Mass Markets (Killeen, TX)
    …hear from you. This role involves handling inbound communications, evaluating warranty claims , and working closely with customers and service partners to ensure ... existing customers through inbound calls and email. + Evaluate and process warranty claims with precision, ensuring adherence to policy terms and conditions. + Apply… more
    Mass Markets (05/30/25)
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  • Claims Adjuster

    CRC Insurance Services, Inc. (Flower Mound, TX)
    …for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the payment of claims . In addition, prepare reports ... then hire attorney for coverage counsel for coverage analysis. 2. Settle claims within settlement authority, where applicable. 3. Work with adjusters, insureds,… more
    CRC Insurance Services, Inc. (08/16/25)
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  • Service Center Representative

    Sedgwick (San Antonio, TX)
    …to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to ... Best Workplaces in Financial Services & Insurance Service Center Representative Are you looking for an opportunity to join...Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
    Sedgwick (08/22/25)
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  • Disability Representative Sr.

    Sedgwick (Irving, TX)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr. **Our teams connect! We collaborate onsite and have a hybrid ... CA 91304 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan… more
    Sedgwick (07/02/25)
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  • Disability Representative Sr

    Sedgwick (Irving, TX)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Disability Representative Sr **PRIMARY PURPOSE** : Provides disability case management and ... complex claim determinations based on medical documentation and the applicable...and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
    Sedgwick (06/03/25)
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  • Disability Representative

    Sedgwick (Irving, TX)
    …naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative **Disability Representative ** **Our teams connect! We collaborate in… more
    Sedgwick (08/15/25)
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  • Care Team Representative

    Sedgwick (Irving, TX)
    … for multiple lines of business, including but not limited to, expediting the claims process, and providing detailed claim notes on all calls, resolving issues ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Care Team Representative **Our teams connect! We collaborate onsite and have a hybrid work… more
    Sedgwick (06/29/25)
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  • Medicaid Provider Customer Service…

    CVS Health (Austin, TX)
    …Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive claims research on ... Explain provider's rights and responsibilities in accordance with contract. + Process claim referrals, new claim handoffs, nurse reviews, provider complaints,… more
    CVS Health (08/16/25)
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  • Bilingual Customer Service Representative

    Reynolds & Reynolds (Austin, TX)
    …an affiliate of Reynolds and Reynolds, is looking for a Bilingual Customer Service Representative - Automotive to join our growing team. As a Customer Service ... Representative you will be responsible for taking inbound calls...AGWS Customers to assist with questions related to maintenance claims . You will assist customers by walking them through… more
    Reynolds & Reynolds (06/28/25)
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  • Associate Billing and Collections…

    Covenant Health (Lubbock, TX)
    …of claim billed and collected on behalf of Covenant. This individual addresses claim edits, files all claims on either a UB-04 (RHC) or 1500 (835/837 ... supervision of the Manager and/or Supervisor, the Associate Billing and Collections Representative is responsible for ensuring correct coding initiatives are met for… more
    Covenant Health (08/12/25)
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