• 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 Examiner Intermediate

    OneMain Financial (Fort Worth, TX)
    …with internal and external customers. + Research additional information to support claim processing. Perform benefit calculations. Conduct claim ... Job Description ** Claims Examiner Intermediate** The Claims Examiner...by performing all functions required to determine if the claim is or is not payable/deferred/or cancelled. This position… more
    OneMain Financial (07/10/25)
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  • Medical Claims Adjudication - remote

    Cognizant (Austin, TX)
    …professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client issues related to claims ... to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication...stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA… more
    Cognizant (08/01/25)
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  • Claims Coordinator

    WestRock Company (Evadale, TX)
    claim decision-making, customer credit, product returns, 3rd party claims recovery, records maintenance, and regular communication with customers ultimately ... Smurfit Westrock Mill Division has an opportunity for a Claims Coordinator who is the first point of contact...credit due, and requirements for product return. * Calculate claim values, assess severity and financial risk, and alert… more
    WestRock Company (07/23/25)
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  • Administrator, Insurance Claims

    Harbor Group Management (Dallas, TX)
    …+ Collect and prepare claim reports and supplemental documentation required to support claim resolutions. + Manage third party claim resolution, ... service and providing exquisite living experience for our residents. Job Title: Claim Administrator Location: Onsite, Dallas, Texas JOB PURPOSE : The position works… more
    Harbor Group Management (08/14/25)
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  • VP, Claims Auto Injury and Litigation

    USAA (San Antonio, TX)
    …for developing Claims operations strategy, plan, goals and objectives in support of USAA Strategy + Accountable for delivering on plan objectives across ... and impactful. **The Opportunity** Accountable for the auto, property or other claims operation to deliver business results at scale. Responsible and accountable for… more
    USAA (08/20/25)
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  • Sr. Professional Liability Medical Claims

    Providence (TX)
    …empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, general, ... and other liability claims under the PSJH Insurance Program:** + Communicate with...for each matter:** + Develop and document for each claim or lawsuit a plan of action for resolution… more
    Providence (07/15/25)
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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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  • Pharmacy Claims Auditor CPhT

    Conduent (Dallas, TX)
    …our client's pharmacy claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be required to represent our clients ... part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like to… more
    Conduent (06/21/25)
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  • Fraud & Claims Operations Manager

    Wells Fargo (San Antonio, TX)
    **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Manager in the Claims Assistance Center Claims team. To Learn more about our career ... management, vendors or related functional areas associated with fraud and claims investigations + Identify and recommend opportunities for implementation of… more
    Wells Fargo (08/15/25)
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