• Claims Examiner III - Liability…

    Sedgwick (Houston, TX)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner III - Liability - Telecommute TX or WI Are you looking for an ... rapidly growing, industry-leading global company known for its excellence and customer service . + Leverage Sedgwick's broad, global network of experts to both learn… more
    Sedgwick (08/15/25)
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  • Claims Investigator

    Allied Solutions (Plano, TX)
    …and other adjusting tools; + Meet and exceed all established recovery and claim service standards and benchmarks for a Claims Investigator. + Promptly and ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim… more
    Allied Solutions (07/13/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Grand Prairie, TX)
    …rates of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care ... 11:30am to 8:00pm depending on your time zone.** This position will service members in different states; therefore, Multi-State Licensure will be required.** The… more
    Elevance Health (08/28/25)
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  • Sales Development Specialist

    The Hartford (San Antonio, TX)
    …value proposition including its long- standing history, broad coverage offering and exceptional claims service . + Support a high performing sales culture. Act ... full-time, occasional, part-time, or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, Wi-Fi,… more
    The Hartford (07/24/25)
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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 (08/27/25)
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  • Auto Claims Representative, Liability

    Sedgwick (Fort Worth, TX)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Representative, Liability **PRIMARY PURPOSE** : To analyze and process low to ... mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses… more
    Sedgwick (08/19/25)
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  • Claims Processing Specialist

    Kelsey-Seybold Clinic (Pearland, TX)
    …Supervisor, the Claim Edit Follow-Up Representative is responsible for processing the electronic claims edits, "front end "edits, as well as claims edits from ... standards and performance measures for this position **Job Title: Claims Processing Specialist** **Location: Pearland Administrative Office** **Department:** **BOfc-PrAuth&Clm… more
    Kelsey-Seybold Clinic (08/01/25)
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  • Lead Claims Processor, Government Programs

    Prime Therapeutics (Austin, TX)
    …our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit claims ... cause analysis and provide additional training as needed. Resolve claims edits and suspended claims . **Responsibilities** +...collaboratively to provide the highest quality of care and service to our members. If you are looking to… more
    Prime Therapeutics (07/29/25)
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  • Financial Operations Recovery Specialist Lead

    Elevance Health (Houston, TX)
    …+ Requires a HS diploma or equivalent and minimum of 4 years claims processing and/or customer service experience; or any combination of education ... Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to… more
    Elevance Health (08/27/25)
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  • Executive Director, Business and Data Analytics…

    USAA (San Antonio, TX)
    …to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the ... where our core values - honesty, integrity, loyalty and service - define how we treat each other and...and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information… more
    USAA (08/08/25)
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