• Claims Examiner | General Liability BI…

    Sedgwick (Austin, TX)
    …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims more
    Sedgwick (12/06/25)
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  • Liability Claims Examiner - Auto & GL

    Sedgwick (Austin, TX)
    …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... health savings account, and other additional voluntary benefits._ \# Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-Remote #LI-AM1 Qualified applicants with arrest… more
    Sedgwick (11/21/25)
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  • Claims Examiner | Multi-Line | Public…

    Sedgwick (Austin, TX)
    …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote...professional and timely manner. + Communicates claim activity and processing with the claimant, insured, client and agent or… more
    Sedgwick (10/15/25)
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  • Manager Payment Integrity Professional Billing

    Texas Health Resources (Arlington, TX)
    …for the direction and coordination of all payment integrity operations related to the processing and adjudication of professional claims to insurance. - ... for qualified candidates like you to join our Texas Health family._ + Work location: Texas Health Resources + Core work hours: Monday - Friday; 8:00a-5:00p;… more
    Texas Health Resources (12/02/25)
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  • Technician-Pharmacy Advocate

    Ascension Health (Austin, TX)
    …$18.75 - $25.13 / per hour **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans ... support for the pharmacist. + Provide accurate data entry, prescription processing , and technical support for the pharmacist within the remote home-delivery… more
    Ascension Health (12/08/25)
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  • QNXT Configuration Analyst

    Molina Healthcare (Austin, TX)
    …+ Experience working in a Medicare environment is highly preferred. + Claims adjudication experience is highly preferred. **Job Qualifications** **Required ... encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education**… more
    Molina Healthcare (11/28/25)
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  • Pharmacy Representative

    Molina Healthcare (Fort Worth, TX)
    … of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication , state, NCQA and CMS policies/guidelines, and any other ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. Essential Job… more
    Molina Healthcare (11/01/25)
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