• Commercial Auto Claims Adjuster

    Kemper (Dallas, TX)
    …+ Commercial auto claims handling experience a plus + Claim -related computer systems experience required; Guidewire experience preferred + Bilingual ... professional with the ability to investigate and adjust first-party and third-party automobile claims . We are offering the opportunity to work in a fast-paced and… more
    Kemper (09/04/25)
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  • Adjudicator, Provider Claims (LTSS Call…

    Molina Healthcare (Fort Worth, TX)
    …issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems . ... and investigation/research experience. Outcome focused and knowledge of multiple systems . 1+ years of claims research and/or...knowledge of multiple systems . 1+ years of claims research and/or issue resolution or analysis of reimbursement… more
    Molina Healthcare (08/27/25)
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  • TVC - Claims Benefit Advisor (Veterans…

    Texas Veterans Commission (Fort Worth, TX)
    …assisting veterans and eligible persons with the Department of Veterans Affairs claims process. Work involves collaboration with external partners to include the ... law in the adjudication process. . Prepares and files claims and appeals with supporting evidence for successful adjudication..... Document all services provided into the case management system daily and maintain client files. . Responsible for… more
    Texas Veterans Commission (09/05/25)
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  • Claims Supervisor II - General Liability

    Philadelphia Insurance Companies (Plano, TX)
    …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Supervisor II - General Liability to join our team! Summary: Supervises claims adjusters ... technical support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking trends and… more
    Philadelphia Insurance Companies (08/16/25)
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  • Business Process Owner Senior - Claims User…

    USAA (Plano, TX)
    …Operations experience. + Guidewire ClaimCenter experience. + Familiar with core insurance systems (eg, Guidewire) and claims workflows. + Experience working with ... are seeking a dedicated Business Process Owner Senior - Claims User Experience - Claims Optimization. We...or similar methodology. + Demonstrated experience with utilizing various systems to collect and analyze data. **What sets you… more
    USAA (08/22/25)
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  • Appeals 3rd Party Claims

    TEKsystems (Addison, TX)
    …trends. + Use EHR systems such as Cerner and Epic to investigate claim histories and denial patterns. 2. Rebilling & Appeals Submission + Draft compelling appeal ... requests. + Ensure timely and accurate generation of re-bills, prioritizing high-dollar claims when behind goal. 3. Follow-Up & Escalation + Conduct in-depth… more
    TEKsystems (09/05/25)
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  • Material Damage Claims Trainer

    Kemper (Mcallen, TX)
    …to enhance training programs. This role requires technical expertise in mechanical systems , Advanced Driver Assistance Systems (ADAS), and a strong understanding ... instructional design methodologies, with a focus on material damage, mechanical systems , ADAS technologies, and forward-looking vehicle design and repair trends. +… more
    Kemper (09/07/25)
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  • Call Center Claims Representative…

    Mass Markets (Killeen, TX)
    …technology to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, ... in the industry. We are looking for call center claims representatives to support inbound customer service, help desk,...material to stay up-to-date on changes to program knowledge, systems , and processes + Adhere to all attendance and… more
    Mass Markets (07/15/25)
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  • (Remote) Manager Global Service Delivery…

    Sedgwick (Austin, TX)
    …& Insurance (Remote) Manager Global Service Delivery Operations - Casualty Claims **PRIMARY PURPOSE** **:** Manages the global service delivery partnership, which ... + Facilitates change management by guiding stakeholders through transitions in processes, systems , or scope. + Evaluates resource alignment regularly to ensure the… more
    Sedgwick (08/27/25)
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  • Business Process Owner Lead - Claims User…

    USAA (San Antonio, TX)
    …ClaimCenter software delivery lifecycle experience. + Deep operational knowledge of end-to-end Claims internal, vendor, and enterprise systems . + Skilled in ... are seeking a dedicated Business Process Owner Lead - Claims User Experience - Claims Optimization. We...and changes in order to improve and support business systems and activities and/or to deliver greater effectiveness and… more
    USAA (08/22/25)
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