- 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
- NTT DATA North America (Ontario, CA)
- …**Key Duties & Responsibilities** - Adjudication & Review -Process comprehensive medical claims using Xcelys and associated subsystems -Resolve complex pends, ... To serve as a senior-level adjudicator and SME for medical claims within the Xcelys environment. Provide.../ operational improvements **Required Qualifications and skills:** -5+ years claims adjudication experience -1+ year experience in… more
- TEKsystems (Orlando, FL)
- Senior Medical Claims Analyst ( Remote ) Contract Duration: Through January 2026 (with potential for extension) Location: Remote (US based) Schedule: ... strong technical skills and a background in pharmacy or medical claims . You'll play a key role... processing and supporting the transition to a new adjudication platform. Key Responsibilities + Perform manual calculations on… more
- Cognizant (Juneau, AK)
- ** Claims Auditor** ( remote ) This is a ...following duties and work as part of our established claims adjudication team. We are seeking highly motivated ... healthcare professionals with **auditing experience on the payer side with professional claims / adjudication area** . Absences will not be permitted during… more
- Sedgwick (Troy, MI)
- …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... Des Moines, IA or Troy, MI - Hybrid or Remote MI Are you looking for an opportunity to...office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes… more
- 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 (Brea, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | 3 Days Remote (Brea, CA) Are you looking for ... LOCATIONS** Brea, CA (2 days in office, 3 days remote ) **PRIMARY PURPOSE OF THE ROLE:** To analyze workers'...valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry… more
- Sedgwick (Annapolis, MD)
- …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 (Des Moines, IA)
- …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 (Charlotte, NC)
- …correct. * May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Liability ( REMOTE - NY... to determine benefits due; and to ensure ongoing adjudication of claims within company standards and… more