• Rec Marine Adjuster

    Sedgwick (Dallas, TX)
    …+ Receives and reviews new claims and maintains data integrity in the claims system . + Reviews survey reports and insurance policies to determine insurance ... Rec Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to… more
    Sedgwick (12/10/25)
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  • Revenue Cycle Management Specialist - Collections

    KPH Healthcare Services, Inc. (Longview, TX)
    …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more
    KPH Healthcare Services, Inc. (11/15/25)
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  • Senior Analyst, Business

    Molina Healthcare (Dallas, TX)
    …processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of claim system configurations, payment policies, and audit processes. + ... not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with… more
    Molina Healthcare (11/14/25)
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  • Senior SAP Systems Configurator

    General Motors (Austin, TX)
    …In this strategic role, you will serve as a **Senior SAP Systems Configurator** responsible for delivering scalable, sustainable SAP solutions aligned with GM's ... + Parts order management. + Customer billing and invoicing. + Warranty claims and settlements. + Financial postings and cost allocations. + Supplier collaboration… more
    General Motors (01/17/26)
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  • Senior Director of Operations - PACE

    Allied Universal (Dallas, TX)
    Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic...information: www.aus.com If you have difficulty using the online system and require an alternate method to apply or… more
    Allied Universal (01/03/26)
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  • Senior Analyst, Supply Chain

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …facets of the role include coordinating purchase requisitions in the ERP system , monitoring supplier performance KPIs and reporting, leading escalation process in ... needed Distribution and Logistics + Support transaction management and postings in ERP system . + May lead interfaces, transactions, and postings in ERP system .… more
    Otsuka America Pharmaceutical Inc. (01/14/26)
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  • Specialist, Revenue Cycle - Managed Care

    Cardinal Health (Austin, TX)
    …resolution for unpaid and rejected claims + Preparing, reviewing and billing claims via electronic software and paper claim processing + Insurance claims ... group purchasing contracts. + Demonstrates knowledge of financial processes, systems , controls, and work streams. + Demonstrates experience working collaboratively… more
    Cardinal Health (01/13/26)
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  • Customer Service Representative - Bilingual

    CVS Health (TX)
    …member's rights and responsibilities in accordance with contract. + Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), ... grievance and appeals (member/provider) via target system . + Educates providers on our self-ser‐vice options; Assists...in preparation of complaint trend reports. Assists in compiling claim data for customer audits. + Determines medical necessity,… more
    CVS Health (01/17/26)
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  • Customer Care Representative

    The Hartford (San Antonio, TX)
    CRS I Claims - CQ10AN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means ... customer service by answering customer questions about disability and leave management claims . In this role, you'll help our customers rebuild their lives and… more
    The Hartford (01/16/26)
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  • Leave of Absence Coordinator

    Sedgwick (Irving, TX)
    …payments and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
    Sedgwick (01/07/26)
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