• Claims Adjuster - Liability - Telecommute…

    Sedgwick (Austin, TX)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Liability - Telecommute - MI or TX **PRIMARY PURPOSE:** To ... analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication...to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and… more
    Sedgwick (08/29/25)
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  • Claims Adjuster - Work Related Injuries

    Baylor Scott & White Health (Dallas, TX)
    …based on position type and/or level **Job Summary** + Under the Safe Choice Claims Manager, the Safe Choice Claims Specialist II reviews, studies, and processes ... prompt, efficient service while protecting the organization's assets. + The Claims Specialist II's main duty involves using discretion and independent judgment… more
    Baylor Scott & White Health (08/29/25)
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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** ... -Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as per turnaround time/SLAs -Ensure claims are… more
    NTT DATA North America (08/29/25)
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  • Claims Representative - Liability - Irving…

    Sedgwick (Plano, TX)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability - Irving or Plano, TX Are you looking for an ... THE ROLE** : To process low level general liability claims to determine benefits due; to ensure ongoing adjudication...to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and… more
    Sedgwick (08/29/25)
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  • Claims Manager *Remote

    Providence (TX)
    **Description** ** Claims Manager** **_Remote. Candidates residing in AK, WA, MT, OR, CA or TX are encouraged to apply._** The Claims Manager is responsible for ... day-to-day oversight of general and professional liability claims in accordance with the System's claims ...liability claims in accordance with the System's claims program policies and procedures and within an assigned… more
    Providence (08/29/25)
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  • Claims Associate - Workers Compensation

    Sedgwick (Dallas, TX)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Workers Compensation Are you looking for an opportunity to join ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
    Sedgwick (08/29/25)
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  • Claims Processor/HNAS

    Highmark Health (Austin, TX)
    …errors and/or performing quality control review and final adjudication of paper/electronic claims . Determines whether to return, deny or pay claims following ... claims and inquiries to determine corrective action including adjusting claims as necessary and takes the corrective action steps using enrollment, benefit… more
    Highmark Health (08/29/25)
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  • Lead Adjudicator, Provider Claims

    Molina Healthcare (Austin, TX)
    …Description** **Job Summary** Responsible for work load assignment to the provider Claims adjudicators and senior provider claims adjudicators. Train and coach ... new employees. Provide clear and concise results on the provider claims model across all states. Monitors and controls workflow. Provides support to leadership… more
    Molina Healthcare (08/28/25)
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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...review + Develop a plan of action for assigned claims and update the claims file following… more
    Providence (08/28/25)
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  • Occupational Accident Claims Specialist

    Zurich NA (Addison, TX)
    Occupational Accident Claims Specialist 126744 Zurich is currently looking for an Occupational Accident Claims Specialist I to handle disability and medical ... accident claims within the Life, Accident, and Health Business Unit....As part of our team, you will manage a claims caseload of low to moderate complexity, interpret policy… more
    Zurich NA (08/28/25)
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