• Analyst - Risk Management ( Claims )

    WESCO (Dallas, TX)
    …regulations across all jurisdictions where Wesco operates. + Maintain accurate and up-to-date claim records in the risk management information system (RMIS). + ... As an Analyst - Risk Management ( Claims ), you will be responsible for the daily...internal and external teams (brokers/carriers/counsel) and contributes to favorable claim outcomes through data analysis and strategic support. **Responsibilities:**… more
    WESCO (07/30/25)
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  • Claims Processor (with Facets) - Healthcare…

    Cognizant (Austin, TX)
    …**In this role, you will:** * Be Responsible for reviewing the data in the claim processing system and comparing with corresponding UB or HCFA paper or EDI ... 4:30pm ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the...is required. **Travel:** None required **About the role:** As Claims Processor (with Facets), you will be responsible for… more
    Cognizant (08/22/25)
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  • Claims Adjuster - Work Related Injuries

    Baylor Scott & White Health (Dallas, TX)
    …approval of lost wages for payroll and for all approvals of medical bills per claim file. + Pay and process claims within designated authority level. + Performs ... Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well....and/or level **Job Summary** + Under the Safe Choice Claims Manager, the Safe Choice Claims Specialist… more
    Baylor Scott & White Health (08/29/25)
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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, ... business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical**...and criteria has been met. + Responsible for reviewing claim and line item edits and warning messages for… more
    Cognizant (08/26/25)
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  • Claims Management Analyst

    AIG (Dallas, TX)
    …and manage a diary system to efficiently manage and resolve assigned claim inventory. + Independently negotiate high exposure claims with top plaintiff ... Claims Management Analyst Join us as a ...+ Effectively strategize and budget the litigation of each claim through discussions with counsel, vendors and insureds. Establish… more
    AIG (08/08/25)
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  • Senior Liability Claims Adjuster

    CVS Health (Austin, TX)
    …third party claims administrator or self-administered corporation. . Proficient with a claims management system to ensure accurate tracking of all relevant ... for successfully managing high exposure and complex druggist and professional Risk claims . The Senior Liability Claims Adjuster will be responsible to… more
    CVS Health (09/02/25)
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  • Manager Rating/ Claims System…

    Elevance Health (Grand Prairie, TX)
    **Manager Rating/ Claims System Analyst** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... accommodation is granted as required by law. The **Manager Rating/ Claims System Analyst** is responsible for managing...impact:** + Sets direction for the team and associated systems . + Acts as a liaison to other teams… more
    Elevance Health (09/05/25)
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  • Claims Examiner

    NTT DATA North America (Plano, TX)
    …as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role Responsibilities** ... -Processing of Professional claim forms files by provider -Reviewing the policies and...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
    NTT DATA North America (08/29/25)
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  • Claims and Litigation Specialist

    Ascension Health (Austin, TX)
    …agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals using support systems to determine appeal outcomes. + Composes ... of claims adjudication process, provider contracts, fee schedules and system configurations to determine root cause of payment error. + Effective verbal… more
    Ascension Health (08/29/25)
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  • Claims Adjudication Specialist

    Mass Markets (Killeen, TX)
    …of claim resolutions and customer interactions using email management systems and customer service software. Expectations: + Effectively multitask while managing ... and other channels. + Clearly and concisely communicate complex claim details and decisions to customers and internal teams....+ Proficiency with computers is essential. + Proficiency in claims management systems , contact center platforms, and… more
    Mass Markets (08/28/25)
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