• Claims Adjudication Specialist

    Mass Markets (Killeen, TX)
    …1-3 years of experience in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer service (preferably in a ... services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability… more
    Mass Markets (08/28/25)
    - Related Jobs

  • Claims Adjudicator ( remote )

    Cognizant (Austin, TX)
    ** Claims Adjudicator ( remote )** This position is open...remotely with 1 to 2 years of experience in Claims Adjudication . The ideal candidate will have a ... in MS Excel to analyze data and support the claims process. This remote role offers a...FACETS experience is an added advantage + Experience in claims hospital and professional claims adjudication… more
    Cognizant (10/23/25)
    - Related Jobs

  • Claims Examiner | General Liability BI…

    Sedgwick (Austin, TX)
    …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

  • Claims Examiner | Multi-Line | Public…

    Sedgwick (Austin, TX)
    …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 (San Antonio, TX)
    …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

  • Workers Compensation Claims Examiner…

    Sedgwick (Austin, TX)
    …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

  • Health Plan Claims and Litigation…

    Ascension Health (Austin, TX)
    …and accurately, in accordance with regulatory requirements. + Strong understanding of claims adjudication process, provider contracts, fee schedules and system ... **Schedule:** Full-time, 8 hour day shift, Monday - Friday, Remote + **Facility:** Ascension Care Management Insurance + **Salary:**...Preference: + Three (3) years of experience in health-care claims adjudication required. + Expertise in the… more
    Ascension Health (08/29/25)
    - Related Jobs

  • Workers Compensation Claims Examiner | NY…

    Sedgwick (Austin, TX)
    …behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictional Knowledge & NY Licensing Required Are you… more
    Sedgwick (10/22/25)
    - Related Jobs

  • Field Reimbursement Manager

    Amgen (San Antonio, TX)
    …insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution + Educate offices using approved materials + Review ... customer appointments, (geography specific) + General office demands - Remote , Work from Home + One to two home...in managed care, clinical support, and/or sales + Strong medical reimbursement experience and/or Specialty Pharmacy and Buy &… more
    Amgen (10/02/25)
    - Related Jobs

  • Coding Investigator Auditor

    Health Care Service Corporation (Richardson, TX)
    …and lowest cost setting reviews for services pre and post payment utilizing medical , contractual, legislative, policy, and other information to validate claims ... billed. Conducting research; preparing documentation of findings and consulting with medical directors as needed. Coordination with all departments involved in each… more
    Health Care Service Corporation (10/23/25)
    - Related Jobs