• Claims Adjudication…

    Mass Markets (Killeen, TX)
    …trusted partner in the industry. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong ... of experience in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer service (preferably in a high-volume… more
    Mass Markets (08/28/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Austin, TX)
    …inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
    CVS Health (09/02/25)
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  • Claims and Litigation Specialist

    Ascension Health (Austin, TX)
    …and accurately, in accordance with regulatory requirements. + Strong understanding of claims adjudication process, provider contracts, fee schedules and system ... Additional Preference: + Three (3) years of experience in health-care claims adjudication required. + Expertise in the Facets platform preferred. + Experience… more
    Ascension Health (08/29/25)
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  • Claims Specialist Sr

    Prime Therapeutics (Austin, TX)
    …of that. It fuels our passion and drives every decision we make. **Job Posting Title** Claims Specialist Sr **Job Description** The Claims Specialist is ... related to specific process or support systems (eg claim adjudication system) Escalate issues when appropriate + Partner with...accredited institution or equivalent GED + 1 year of claims experience + Must be eligible to work in… more
    Prime Therapeutics (09/06/25)
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  • Claims Investigator

    Allied Solutions (Plano, TX)
    …Losses ; refer timely and accurately to more senior level adjusting staff for adjudication and collection; + Adjudicate claims within the guidelines of the ... Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This… more
    Allied Solutions (07/13/25)
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  • Specialist , Configuration Oversight

    Molina Healthcare (Austin, TX)
    …Partners to ensure resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
    Molina Healthcare (09/07/25)
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