• Fraud & Claims Operations Manager

    Wells Fargo (San Antonio, TX)
    **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Manager in the Claims Assistance Center Claims team. To Learn more about our career ... management, vendors or related functional areas associated with fraud and claims investigations + Identify and recommend opportunities for implementation of… more
    Wells Fargo (08/15/25)
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  • Attorney - Fraud & Claims and At-Risk…

    Bank of America (Dallas, TX)
    Attorney - Fraud & Claims and At-Risk Persons Charlotte, North Carolina;Dallas, Texas; Plano, Texas **To proceed with your application, you must be at least 18 years ... at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/Attorney-I Fraud Claims -and-At-Risk-Persons\_25028865-1) **Job Description:** At Bank of America, we are… more
    Bank of America (08/14/25)
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  • Commercial Auto Claims Rep

    Sedgwick (Austin, TX)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Rep **PRIMARY PURPOSE** : To analyze and process low to mid-level auto ... and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
    Sedgwick (08/13/25)
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  • Medical Director - Florida

    Humana (Austin, TX)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (07/29/25)
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  • Medical Director - NorthEast Region

    Humana (Austin, TX)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... situations or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the… more
    Humana (07/25/25)
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  • Grievances & Appeals Representative

    Humana (Austin, TX)
    …time frame. + CAS, MedHOK experience strongly preferred + Previous experience processing medical claims **Required Work Schedule** **This is a remote role and ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
    Humana (08/19/25)
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  • Customer Service Representative

    ManpowerGroup (Austin, TX)
    …Job?** + Provide unbiased assistance to Medicaid providers and clients regarding eligibility, medical claims status, and other program inquiries. + Respond to ... the community. **Upon completion of waiting period associates are eligible for:** + Medical and Prescription Drug Plans + Dental Plan + Supplemental Life Insurance +… more
    ManpowerGroup (07/24/25)
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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...and AD&D, long-term disability and short-term disability insurance + Medical , dental and vision plans to meet your unique… more
    GuideOne Insurance (08/13/25)
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  • Claims Adjudication Specialist

    Mass Markets (Killeen, TX)
    …hear from you. This role involves handling inbound communications, evaluating warranty claims , and working closely with customers and service partners to ensure ... existing customers through inbound calls and email. + Evaluate and process warranty claims with precision, ensuring adherence to policy terms and conditions. + Apply… more
    Mass Markets (05/30/25)
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  • Claims Adjudication Specialist - Remote

    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...HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered… more
    Cognizant (08/15/25)
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