• Medical Claims Adjudication - remote

    Cognizant (Austin, TX)
    …assigned by management . **Qualifications:** + A minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and hospital ... and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and… more
    Cognizant (08/01/25)
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  • Executive Director, Business and Data Analytics…

    USAA (San Antonio, TX)
    …risks, and issues to stakeholders across multiple departments, including senior management , claims business partners, legal, and IT. Manage expectations ... development 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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  • Medical Claims Processor - Remote

    NTT DATA North America (Plano, TX)
    …and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **In this Role the ... Work independently to research, review and act on the claims + Prioritize work and adjudicate claims ...leverage your research, analysis and problem-solving abilities** + **Time management with the ability to cope in a complex,… more
    NTT DATA North America (07/22/25)
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  • Claims Adjudication Specialist

    Mass Markets (Killeen, TX)
    …plan environment). + Proficiency with computers is essential. + Proficiency in claims management systems, contact center platforms, and MS Office products. ... Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing,… more
    Mass Markets (08/28/25)
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  • Default Claims Analyst

    TEKsystems (Dallas, TX)
    …of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim ... and research curtailment reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI… more
    TEKsystems (08/21/25)
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  • Remote Medical Claims Examiner

    NTT America, Inc. (Plano, TX)
    …and forward-thinking organization, apply now. We are currently seeking a Remote Medical Claims Examiner to join our team in Plano, Texas (US-TX), United States (US). ... Work independently to research, review and act on the claims + Prioritize work and adjudicate claims ...leverage your research, analysis and problem-solving abilities + Time management with the ability to cope in a complex,… more
    NTT America, Inc. (08/15/25)
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  • Business Process Owner Senior - Claims User…

    USAA (Plano, TX)
    …impactful. **The Opportunity** We are seeking a dedicated Business Process Owner Senior - Claims User Experience - Claims Optimization. We offer a flexible work ... and/or process engineering/optimization. + Experience in successfully applying quality management , process improvement, and problem-solving tools and methodologies. +… more
    USAA (08/22/25)
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  • Claims Processor (with Facets) - Healthcare…

    Cognizant (Austin, TX)
    …claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support...Assigning special projects or other duties as determined by management . **What you need to have to be considered:**… more
    Cognizant (08/26/25)
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  • Licensed Insurance Claims

    Robert Half Management Resources (Dallas, TX)
    Description We are looking for a Licensed Insurance Claims Investigator/Adjuster to join our team on a contract basis in Dallas, Texas. In this role, you will ... leverage your expertise to assess and manage risks, analyze complex insurance claims , and provide strategic recommendations. This position offers an opportunity to… more
    Robert Half Management Resources (08/23/25)
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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 ... departments, and validation of compliance requirements. + Facilitates change management by guiding stakeholders through transitions in processes, systems, or… more
    Sedgwick (08/27/25)
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