• Claims Team Lead Assistant…

    Sedgwick (Plano, TX)
    …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead Assistant - Liability -...professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional… more
    Sedgwick (08/08/25)
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  • Lead Claims Processor, Government…

    Prime Therapeutics (Austin, TX)
    …fuels our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit ... and adjustments as required. + Implementation and maintenance of claims processing programs and procedures + Verify...and administrative duties as required by business need. + Lead and implement positive changes with a high level… more
    Prime Therapeutics (07/29/25)
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  • VP, Claims Process & Operations

    Humana (Austin, TX)
    …customer-focused and ensure the highest operational standards for more than 240M claims processing transactions associated with our 9+ million members. Reporting ... seeking an accomplished executive to join our team and lead our claims horizontal. The VP, ...allow this leader to ensure timely, accurate, and customer-focused claims processing , while driving continuous improvement, regulatory… more
    Humana (08/02/25)
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  • Claims Coordinator

    WestRock Company (Evadale, TX)
    …and Technical area within Smurfit Westrock Mill Division has an opportunity for a Claims Coordinator who is the first point of contact when a customer experiences a ... issue or problem. The position will be responsible for efficiently processing customer complaints while fostering strong customer relationships. Your role will… more
    WestRock Company (07/23/25)
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  • Executive Director, Business and Data Analytics…

    USAA (San Antonio, TX)
    …and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information Management, ... Governance, Information Delivery Analytics & Insights Delivery, and Support. Lead the short-term and long-term strategy and vision of...and vision of the assigned sub-functions for the CoSA Claims working with peers to set objectives across the… more
    USAA (08/08/25)
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  • Lead Analyst, Configuration Oversight…

    Molina Healthcare (TX)
    **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims ... accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing . This role will focus on identifying, reviewing, and validating Medicaid… more
    Molina Healthcare (07/24/25)
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  • Medicaid Lead , Technology Solutions

    Humana (Austin, TX)
    …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... of our caring community and help us put health first** The Medicaid Lead , Technology Solutions builds strategic partnerships and manages relationships between IT and… more
    Humana (07/15/25)
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  • Operational Support Lead Administrator

    Robert Half-Robert Half Corporate (Houston, TX)
    **JOB REQUISITION** Operational Support Lead Administrator **LOCATION** TX HOUSTON WEST **JOB DESCRIPTION** Robert Half is seeking an **Operational Support Lead ... valued and fulfilled in their roles. **Join our community as an Operational Support Lead Administrator and advance your career as you help us shape our future.**… more
    Robert Half-Robert Half Corporate (07/09/25)
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  • Process Improvement Lead

    Humana (Austin, TX)
    …of medical coding to include ICD-10, CPT, HCPCS + Knowledge of medical claims processing procedures + Extensive analytical skills + Experience with process ... our caring community and help us put health first** The Process Improvement Lead researches best business practices within and outside the organization to establish… more
    Humana (08/09/25)
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  • AI Innovation Lead - Data Science Lab

    Guardian Life (Austin, TX)
    ** Lead AI Innovation Lead - Data Science Lab** **Overview** Guardian is on a transformation journey to evolve into a modern, forward-thinking insurance company ... of pioneering research into practical, enterprise-wide solutions. In this role as Managing Lead Data Scientist for the DSL, you'll be entrusted with the crucial task… more
    Guardian Life (06/27/25)
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