• 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 (08/28/25)
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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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  • Associate VB Claims Specialist

    UNUM (Columbia, SC)
    …benefits claims . + Develop a working knowledge of systems needed for claims adjudication . + Provide excellent customer service and independently respond to ... This position is responsible for the thorough, fair, objective, and timely adjudication of voluntary benefits claims in conjunction with providing technical… more
    UNUM (11/06/25)
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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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  • Pharmacy Claims Representative 2

    Dragonfly Health (Mesa, AZ)
    …immediate supervisor or manager._ 1. Assist pharmacies with real-time and retrospective claims adjudication . Adjust and correct authorizations in dispensing and ... of six (6) months of pharmacy technician experience. * Experience with pharmacy claims adjudication is required. Specialized Knowledge, Skills & Abilities: * PBM… more
    Dragonfly Health (10/14/25)
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  • Claims Representative

    CDPHP (Latham, NY)
    …Representative shall assume full responsibility and ownership for all aspects regarding claims adjudication and adjustments. In addition, the incumbent will ... + Minimum of one (1) year experience in health care claims review and adjudication to payment/denial utilizing CPT-4, ICD 10 and HCPCS coding preferred.… more
    CDPHP (11/20/25)
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  • Claims Team Lead - Liability | Auto…

    Sedgwick (Fort Worth, TX)
    …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 (11/15/25)
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  • Claims Team Lead - Workers Compensation |

    Sedgwick (Concord, 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 (11/14/25)
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  • (Remote) Claims Team Lead - Workers…

    Sedgwick (Concord, NH)
    …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 (11/08/25)
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  • Liability Claims Team Lead - Commercial…

    Sedgwick (Rancho Cordova, CA)
    …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 (11/08/25)
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