• Xcelys Sr. Claims Examiner - Remote

    NTT DATA North America (Ontario, CA)
    …**Key Duties & Responsibilities** - Adjudication & Review -Process comprehensive medical claims using Xcelys and associated subsystems -Resolve complex pends, ... To serve as a senior-level adjudicator and SME for medical claims within the Xcelys environment. Provide.../ operational improvements **Required Qualifications and skills:** -5+ years claims adjudication experience -1+ year experience in… more
    NTT DATA North America (09/27/25)
    - Related Jobs
  • Claims Auditor ( remote )

    Cognizant (Sacramento, CA)
    ** Claims Auditor** ( remote ) This is a ...following duties and work as part of our established claims adjudication team. We are seeking highly motivated ... healthcare professionals with **auditing experience on the payer side with professional claims / adjudication area** . Absences will not be permitted during… more
    Cognizant (10/16/25)
    - Related Jobs
  • Claims Examiner | General Liability BI…

    Sedgwick (Sacramento, CA)
    …Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to take ... daily work and your career path. This is a remote , work-at-home, telecommuter position. + Be a part of...claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry… more
    Sedgwick (09/06/25)
    - Related Jobs
  • Workers Compensation Claims Examiner | 3…

    Sedgwick (Brea, CA)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | 3 Days Remote (Brea, CA) Are you looking for ... LOCATIONS** Brea, CA (2 days in office, 3 days remote ) **PRIMARY PURPOSE OF THE ROLE:** To analyze workers'...valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry… more
    Sedgwick (10/17/25)
    - Related Jobs
  • Claims Examiner | Multi-Line | Public…

    Sedgwick (Sacramento, CA)
    …Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for an opportunity to join a global industry leader where ... exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and… more
    Sedgwick (10/15/25)
    - Related Jobs
  • ( Remote ) Claims Adjuster - Workers…

    Sedgwick (Sacramento, CA)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) Claims Adjuster - Workers Compensation | Midwest & Southeast ... behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and… more
    Sedgwick (10/11/25)
    - Related Jobs
  • Claims Examiner - Workers Compensation…

    Sedgwick (San Diego, CA)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation ( REMOTE -California Exp Required) Are you ... exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and… more
    Sedgwick (09/23/25)
    - Related Jobs
  • Workers Compensation Claims Examiner…

    Sedgwick (Sacramento, CA)
    …behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY Licensing Required...Examiner | Dedicated Client | NY Licensing Required | Remote Are you looking for an opportunity to join… more
    Sedgwick (09/17/25)
    - Related Jobs
  • Workers Compensation, Claims Adjuster | 3…

    Sedgwick (Ontario, CA)
    …and coding of claim files. + May handle complex lifetime or defined-period medical claims , including state filings and treatment decisions. + Maintains ... Best Workplaces in Financial Services & Insurance Workers Compensation, Claims Adjuster | 3 days Remote (Ontario,...OF THE ROLE:** Analyze mid- to high-level workers' compensation claims to determine benefits, ensure ongoing adjudication more
    Sedgwick (10/10/25)
    - Related Jobs
  • Sr. Medical Claims Examiners (3+…

    NTT DATA North America (Ontario, CA)
    …process optimizations. **Responsibilities** Adjudication & Review + Process comprehensive medical claims using Xcelys and associated subsystems + Resolve ... NTT DATA is currently seeking **Senior Medical Claims Examiners (3+ years of...from peer and leadership reviews **Required:** + 5+ years claims adjudication experience + 3+ years of… more
    NTT DATA North America (09/27/25)
    - Related Jobs