• Human Resources III

    Horizon Services, Inc. (Hayward, CA)
    …dental, life and other related benefit claims . + Coordinate workers' compensation claims with third-party administrator . Follow up on claims . Compliance ... Resources Generalist works closely with the Personnel & Program Administrator , the Compliance & Outcomes Administrator , the...program, such as group health, dental and vision, life insurance , 401k, UI, COBRA etc., and responds to all… more
    Horizon Services, Inc. (10/30/25)
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  • Adjuster Team Lead

    Sedgwick (Knoxville, TN)
    …RESPONSIBILITIES** + Designs and coordinates management and oversight of third party administrator claims . + Establishes policy and procedures to assure ... including project assignment and workflow. + Manages and approves insurance and matured endowment claims . + Monitors...Manages and approves insurance and matured endowment claims . + Monitors management reports relating to the area/office… more
    Sedgwick (11/20/25)
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  • Employee Benefits Account Manager

    HUB International (Argyle, TX)
    **About HUB International** HUB International is a global insurance broker providing a broad array of property, casualty, risk management, life and health, employee ... dedicated to helping individuals and businesses evaluate and manage their risks and insurance needs. We are a company dedicated to superior customer service with… more
    HUB International (12/03/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Roanoke, VA)
    …Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case ... rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients.… more
    Elevance Health (12/06/25)
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  • Account Manager, Employee Benefits

    HUB International (Tulsa, OK)
    …Manager works collaboratively with the Producer, Account Executive and Account Administrator managing a book of business. Coordinates and provides day-to-day service ... Provides benchmarking reports to client (annually, quarterly, or monthly) + Manages claims and coverage issue resolution for clients' employees when elevated from… more
    HUB International (12/11/25)
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  • On-Site Procedural Billing Specialist I…

    Mount Sinai Health System (New York, NY)
    …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... in analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator more
    Mount Sinai Health System (10/10/25)
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  • Workers' Compensation Coordinator II

    The City of Houston (Houston, TX)
    …oversight of various functions performed by the city's contracted third-party administrator and for completion of various assignments for municipal and classified ... + Acts as liaison between the injured employee, the third-party administrator , cross-functional HR teams, labor unions, and other city departments. +… more
    The City of Houston (12/12/25)
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  • Senior Insurance & Risk Specialist…

    Burns & McDonnell (Kansas City, MO)
    **Description** The Senior Insurance Administrator is responsible for managing the requirements and execution of Burns & McDonnell's insurance program. This ... firm, the insurance brokers, adjusters and attorneys involved on insurance claims . + Consult with various individuals internal and external to the company… more
    Burns & McDonnell (10/08/25)
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  • Casualty Field Adjuster

    Raphael and Associates (New York, NY)
    …(carrying 30+ lbs.) Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally ... Adjuster to apply their knowledge of negligence theories while investigating Liability claims . This position provides an opportunity for the right candidate to… more
    Raphael and Associates (11/06/25)
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  • Medical Insurance Call Center…

    CHS (Clearwater, FL)
    …+ High school graduate or equivalent. + Knowledge of medical terminology, billing, claims and the health insurance industry is strongly preferred but not ... **Overview** ** ** **Medical Insurance Call Center Representative | Member and Provider...company **Summary:** Premier Administrative Solutions (PAS) is a Third-Party Administrator (TPA) that provides a wide range of administrative… more
    CHS (11/03/25)
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