• Integrated Absence Claims Specialist

    Lincoln Financial (Austin, TX)
    …for conducting initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations. You'll ... professionals through phone and e-mail to gather information regarding Short Term Disability Claims , Family Medical Leaves, and state benefits when applicable. +… more
    Lincoln Financial (09/04/25)
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  • Medical Insurance Claims Specialist

    HCA Healthcare (Houston, TX)
    …Do you want to join an organization that invests in you as a Medical Insurance Claims Specialist? At Parallon, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Medical Insurance Claims Specialist like you to...will be responsible for processing insurance accounts to address claim issues and thereby affect payment and/or bringing them… more
    HCA Healthcare (08/30/25)
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  • Auto Claims Representative, Liability

    Sedgwick (Dallas, TX)
    …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Representative, Liability **PRIMARY PURPOSE** : To analyze and process low to… more
    Sedgwick (08/19/25)
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  • Claims and Litigation Specialist

    Ascension Health (Austin, TX)
    …Responsible for reviewing, investigating and resolving health-care claim payment appeals and communicating resolution/determination in accordance ... by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. +… more
    Ascension Health (08/29/25)
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  • Complex Claims Adjuster

    CRC Insurance Services, Inc. (Flower Mound, TX)
    …for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the payment of claims . In addition, prepare reports ... then hire attorney for coverage counsel for coverage analysis. 2. Settle claims within settlement authority, where applicable. 3. Work with adjusters, insureds,… more
    CRC Insurance Services, Inc. (08/27/25)
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  • Claims Supervisor

    PennyMac (Fort Worth, TX)
    …accurately, providing all back-up as requested, and the reconciliation and posting of claim proceeds. The Claims Supervisor will : + Manage the post-foreclosure ... claims for reimbursement of expenses + Reconciliation of claim proceeds and filing supplemental claims as...have you covered. Some key benefits include: + Comprehensive Medical , Dental, and Vision + Paid Time Off Programs… more
    PennyMac (08/07/25)
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  • Examiner, Claims (Remote)

    Molina Healthcare (Fort Worth, TX)
    …errors of claims . + Manages a caseload of claims . Procures all medical records and statements that support the claim . + Makes recommendations for further ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of … more
    Molina Healthcare (08/27/25)
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  • Claims Processor

    PennyMac (Fort Worth, TX)
    …accurately, providing all back-up as requested, and the reconciliation and posting of claim proceeds. The Claims Processor will : + Perform post-foreclosure ... property insurance during the GSE REO process + File claims for reimbursement of expenses + Reconcile claim...have you covered. Some key benefits include: + Comprehensive Medical , Dental, and Vision + Paid Time Off Programs… more
    PennyMac (08/27/25)
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  • Commercial Casualty Claims Adjuster…

    GuideOne Insurance (Houston, TX)
    As a Commercial Casualty Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...coverage and reservation of rights letters. + Maintains effective claim file documentation and diary system. Monitor diary to… more
    GuideOne Insurance (08/13/25)
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  • Pharmacy Claims Auditor CPhT

    Conduent (Dallas, TX)
    …our client's pharmacy claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be required to represent our clients ... part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like to… more
    Conduent (06/21/25)
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