• Claims Adjudication

    Mass Markets (Killeen, TX)
    …expanding, industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have ... 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 (11/26/25)
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  • Licensed Auto Claims Adjuster - Bodily…

    Sedgwick (Fort Worth, TX)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Licensed Auto Claims Adjuster - Bodily Injury Specialist (New York License Required) ... claims to determine scope of damages; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify… more
    Sedgwick (11/14/25)
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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 (10/12/25)
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  • Traffic Management Specialist

    Air Education and Training Command (Randolph AFB, TX)
    …to provide technical advice and guidance to the Chief of Excess Cost Adjudication Function and senior leadership in the planning, managing, and analyzing of personal ... property excess cost and adjudication to improve movement experiences for Department of Defense...of complex procedures and rules concerning payment of government claims (eg, transportation of HHG, etc.); comprehensive financial and… more
    Air Education and Training Command (12/09/25)
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  • Remote Senior Claim Specialist - General…

    CRC Insurance Services, Inc. (TX)
    …fostering great working relationships with insureds, brokers and underwriters in the handling and adjudication of all claims . 8. Maintain claims and suspense ... America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Manages and evaluates… more
    CRC Insurance Services, Inc. (11/11/25)
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  • Specialist , Configuration Oversight…

    Molina Healthcare (Dallas, 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 (12/11/25)
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  • Medical Billing Specialist

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    **43131BR** **Extended Job Title:** Medical Billing Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... ensuring accurate billing for timely submission of claims , monitoring claim status, investigating claim denials/rejections, and documenting related account… more
    Texas Tech University Health Sciences Center - El Paso (11/27/25)
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  • Medicaid Provider Data Services Specialist

    CVS Health (Austin, TX)
    …demographic transaction updates in provider system applications in support of claim adjudication and Provider directory. - Performs intake triage and responds to ... into applicable systems. **Required Qualifications** - 1-3 years' of Medicaid claims experience. - 1-3 years' Network background. **Preferred Qualifications** - 1+… more
    CVS Health (12/04/25)
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