• Claims Adjuster - Liability (Property…

    Sedgwick (Charlotte, NC)
    …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Liability (Property Estimating Exp Required) Are you looking for… more
    Sedgwick (11/08/25)
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  • Claims Adjuster - Bodily Injury - Irving,…

    Sedgwick (Irving, TX)
    …properly documented, and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Bodily Injury - Irving, TX -...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. Sedgwick is… more
    Sedgwick (11/04/25)
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  • Claims Adjuster - Workers Compensation…

    Sedgwick (Denver, CO)
    …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation - Remote CO Are...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
    Sedgwick (10/30/25)
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  • Health Insurance Claims Processor

    System One (Fairfax, VA)
    …Must have experience doing 200+ claims daily ESSENTIAL FUNCTIONS + Performs claims adjudication for complex medical claims . + Performs regular auditing. ... paper/electronic claims , also use automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts,… more
    System One (11/25/25)
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  • 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 ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation, Claims Adjuster | 3 days Remote (Ontario, CA) Are you looking for an… more
    Sedgwick (10/10/25)
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  • Medicaid Claims Processing, Associate,…

    MVP Health Care (Rochester, NY)
    …looking for a Claims Examiner to join #TeamMVP. If you have a passion for medical claims and attention to detail this is the opportunity for you. **What's in ... + Knowledge of CPT, HCPCS, ICD-9-CM coding systems and Medical terminology preferred. + Strong PC skills required, Microsoft...responsibilities:** + Using a PC /Microsoft Window environment, adjudicates claims with the aid of the Facets and Macess… more
    MVP Health Care (11/27/25)
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  • Claims Examiner

    US Tech Solutions (Whittier, CA)
    **Duration: 3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated ... medical groups and hospitals + Evaluate provider reimbursement terms...provider reimbursement terms and flag non-contracted providers + Ensure claims are processed accurately and timely per policy guidelines… more
    US Tech Solutions (10/17/25)
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  • Claims Quality Auditor

    UCLA Health (Los Angeles, CA)
    …with: + High school diploma, GED or equivalent + Four or more years of medical claims payment experience in an HMO environment + Experience with CPT-4, ICD-9CM, ... do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily...medical terminology + Experience in benefit determination and claims adjudication + Ability to accurately key 6,000-8,000 keystrokes… more
    UCLA Health (11/07/25)
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  • Coordination of Benefits (COB) Claims

    NTT DATA North America (TX)
    …opportunities for improvement. **Requirements for this role include:** + 3+ years of medical claims processing experience + 5+ years of experience using a ... potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other Insurance… more
    NTT DATA North America (11/18/25)
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  • Claims Resolution Specialist

    Select Medical (Camp Hill, PA)
    …+ High School Diploma or Equivalent + One year of experience within a medical billing, medical collecting or claims processing role. **Preferred:** + ... secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist:** Select Medical strives to...benefits as a Claims Resolution Specialist:** Select Medical strives to provide our employees with a solid… more
    Select Medical (11/24/25)
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