• Sr. Claims Specialist - G/L

    Philadelphia Insurance Companies (Plano, TX)
    …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. Claims Specialist - G/L to join our team! Summary: Investigate, evaluate and settle more ... as results of investigation. Investigates circumstances of routine as well as complex claims to determine if and to what extent coverage applies. Thoroughly… more
    Philadelphia Insurance Companies (10/30/25)
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  • Medical Only Claims Specialist

    Insight Global (Dallas, TX)
    Job Description Insight Global is seeking a Medical Only Claims Specialist to join our client's team. This candidate will be responsible for managing non- ... complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision. We are a company committed to… more
    Insight Global (11/21/25)
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  • Claims Specialist - Auto

    Philadelphia Insurance Companies (Plano, TX)
    …member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist - Auto to join our team. JOB SUMMARY Investigate, evaluate and settle ... more complex first and third party commercial insurance auto claims . JOB RESPONSIBILITIES + Evaluates each claim in light of facts; Affirm or deny coverage;… more
    Philadelphia Insurance Companies (11/07/25)
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  • Underwriting Specialist OR Executive…

    Zurich NA (Dallas, TX)
    Underwriting Specialist OR Executive Underwriter- MM Complex Property 128720 Zurich is seeking a Underwriting Specialist OR Executive Underwriter- MM ... This role will be filled at either the Underwriting Specialist OR Executive Underwriter- MM Complex Property...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
    Zurich NA (11/11/25)
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  • AVP- Complex Claim Specialist

    Travelers Insurance Company (Austin, TX)
    …Investigate, evaluate, reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best ... You Do?** + CLAIM HANDLING: + Directly handle the Company's most severe and complex claims when Travelers has coverage of $2 million or greater and file exposure… more
    Travelers Insurance Company (11/12/25)
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  • Senior EHR Clin Apps Analyst (Resolute Hospital…

    UTMB Health (Galveston, TX)
    Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information Technology ... to conduct clinical applications analysis and/or programming of intermediate to complex systems, analysis of clinical workflows, and system adoption strategies. An… more
    UTMB Health (11/04/25)
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  • Property Adjuster Specialist - Field

    USAA (Dallas, TX)
    …liability. + Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ... complex policy terms and contingencies. + Determines and negotiates complex claims settlement within authority limits. Develops recommendations and… more
    USAA (11/22/25)
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  • Disability Clinical Specialist

    Sedgwick (Austin, TX)
    …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims ... and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information… more
    Sedgwick (10/24/25)
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  • Hospital Billing and Claims Application…

    Deloitte (Fort Worth, TX)
    …environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist , you will have the ability to share new ideas and collaborate ... production support issues during Activation + Identify potential issues and refer more complex issues to appropriate level of support + Build rapport and promote… more
    Deloitte (10/31/25)
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  • Revenue Cycle Specialist - Plastics…

    Houston Methodist (Houston, TX)
    …Service Standards. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with management to target complex claims and reduce aging of accounts by providing verbal ... for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is...Specialist is required to perform collections activities on complex denials and prepare complex appeals on… more
    Houston Methodist (10/08/25)
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