• 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 ... expanding, industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong… more
    Mass Markets (11/26/25)
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  • Claims Specialist II

    AON (NY)
    Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... verbal and written communication. Skills that lead to success: + Claims adjudication experience. + Clear and professional written and verbal communication. +… more
    AON (11/04/25)
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  • Claims Manager

    CHS (Clearwater, FL)
    …insurance companies, employers, and members. In this pivotal role, you'll oversee claims adjudication , drive operational strategy, and ensure high accuracy and ... clients. * Management of relationships with essential vendors involved with the Claims Adjudication process, including clearinghouses, claims cost control… more
    CHS (11/06/25)
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  • Senior Analyst, Claims Research

    Molina Healthcare (Kenosha, WI)
    …solutions. + Interprets regulatory and contractual requirements to ensure compliance in claims adjudication and remediation processes. + Develops, tracks, and / ... and project management. + Advanced knowledge of medical billing codes and claims adjudication processes. + Strong analytical, organizational, and problem-solving… more
    Molina Healthcare (12/05/25)
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  • Claims Team Lead - Workers Compensation…

    Sedgwick (Portland, OR)
    …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and… more
    Sedgwick (12/05/25)
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  • Claims Team Lead - Liability

    Sedgwick (Charlotte, NC)
    …monitors individual claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex ... and documentation standards. . Provides technical and jurisdictional guidance on claims adjudication , including quality reviews and reserve evaluations for… more
    Sedgwick (12/03/25)
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  • Claims Team Lead - General Liability…

    Sedgwick (Hartford, CT)
    …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and… more
    Sedgwick (12/02/25)
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  • Claims Team Lead - Liability (Must Reside…

    Sedgwick (Atlanta, GA)
    …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and… more
    Sedgwick (11/27/25)
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  • Claims Team Lead - Workers Compensation…

    Sedgwick (Riverside, CA)
    …monitors individual claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex ... and documentation standards. + Provides technical and jurisdictional guidance on claims adjudication , including quality reviews and reserve evaluations for… more
    Sedgwick (11/22/25)
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  • Assistant Claims Team Lead - Workers…

    Sedgwick (Springfield, IL)
    …monitors individual claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex ... and documentation standards. + Providing technical and jurisdictional guidance on claims adjudication , including quality reviews and reserve evaluations for… more
    Sedgwick (11/21/25)
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