• 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 (11/26/25)
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  • Workers' Compensation Claims Manager

    Flynn Restaurant Group (Independence, OH)
    …Flynn Fitness Group) is seeking an experienced and strategic Workers' Compensation Claims Manager to lead the administration of its national workers' compensation ... of Analysts/Supervisors and manages all aspects of workers' compensation claims handling, litigation strategy, third-party administrator (TPA) relationships, and… more
    Flynn Restaurant Group (11/30/25)
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  • Claims Supervisor - Alpine Rio

    CRC Insurance Services, Inc. (Flower Mound, TX)
    …Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES AND ... change from time to time. 1. Manage the supervision and coordination of the claims department and staff. 2. Organize and disseminate information that affects the … more
    CRC Insurance Services, Inc. (11/26/25)
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  • Workers' Compensation Claims Lead Examiner

    ADP (San Dimas, CA)
    ADP is hiring a ** Claims Lead Examiner** . **_RESPONSIBILITIES:_** + Assist Claims Manager in monitoring the workers compensation program within the ADPTS/PEO ... that could be problematic and take steps along with Claims Manager to take steps to develop processes to...department and company goals. + Monitor and ensure qualitative claim handling through TPA and other vendor partners. +… more
    ADP (11/20/25)
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  • Entry- Level, -REMOTE Bilingual Spanish…

    Sedgwick (Cleveland, OH)
    …and/or the claims system regarding documentation required to process a claim , required time frames and claim status. + Communicates clearly and ... Bilingual Spanish and Brazilian Portuguese , Customer Service and Claims Positions **Are you looking for an impactful job...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
    Sedgwick (11/08/25)
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  • Claims Resolution - Transaction Processor…

    Conduent (Helena, MT)
    …openings. This is a great opportunity to learn about Medicaid Provider support and the medical eligibility and claims process! **About the Role** As a Claims ... Transaction Processor claims team, you will enter claim information into our system, ensuring data integrity and...sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service… more
    Conduent (10/22/25)
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  • Long Term Disability Claims Specialist I

    MetLife (Cary, NC)
    …meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. These calls are… more
    MetLife (11/26/25)
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  • STD Claims Support Specialist

    MetLife (Warwick, RI)
    …by team member(s) within authority limit including Financial accuracy of coding Claims System including accurate claim Benefit Amount/Salary and appropriately ... claimant expectations and obtaining information necessary to administer the claim . . Basic knowledge of medical conditions,...Skills, Preferred: * Prior STD, state leave and/or Family Medical Leave Act claims knowledge preferred. *… more
    MetLife (11/16/25)
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  • Commercial Auto Claims Representative

    Sedgwick (Sun Prairie, WI)
    …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to mid-level… more
    Sedgwick (11/18/25)
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  • Financial Compliance Auditor III Claims

    LA Care Health Plan (Los Angeles, CA)
    Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for audits of claims ...This position is responsible for all aspects of assigned claim audits, including audit testing and completion of the… more
    LA Care Health Plan (10/23/25)
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