• Sr. Claims Specialist - G/L

    Philadelphia Insurance Companies (Plano, TX)
    …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. Claims Specialist - G/L to join our team! Summary: Investigate, evaluate and settle more ... complex first and third party insurance claims . A typical day will include the following: Communicates...each claim in light of facts, policy considerations and corporate direction. Pays and/or reserves and/or denies coverage as… more
    Philadelphia Insurance Companies (07/31/25)
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  • Default Claims Specialist

    TEKsystems (Dallas, TX)
    …investor, and master servicing guidelines. * Evaluates/reconciles loan level balances ( corporate and escrow advances) for expenses incurred to determine claimable vs ... of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim… more
    TEKsystems (07/24/25)
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  • Claims Counsel

    Waste Connections (The Woodlands, TX)
    … Claims Counsel in the Legal Department in The Woodlands, Texas. This specialist in insurance law and claims management will provide a wide range ... Join Waste Connections, and Connect with Your Future! **Job Title** Claims Counsel **Employee Type** Employee **Requisition Primary Location** The Woodlands, Texas… more
    Waste Connections (06/26/25)
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  • Specialist , Corporate Credentialing

    Molina Healthcare (TX)
    …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. Ongoing ... GED **Required Experience/Knowledge Skills & Abilities:** Certified Provider Credentialing Specialist (CPCS) or participation in a CPCS progression program.… more
    Molina Healthcare (07/19/25)
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  • Associate Specialist , Corporate…

    Molina Healthcare (Fort Worth, TX)
    …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. * ... Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have… more
    Molina Healthcare (08/01/25)
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  • Inside Property Adjuster Specialist…

    USAA (San Antonio, TX)
    …special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within defined guidelines and framework, investigate, evaluate, ... negotiate, and settle complex property insurance claims . You will confirm/analyze coverage, recognize liability exposure and...may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of… more
    USAA (07/31/25)
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  • Adverse Subrogation and Arbitration…

    Kemper (Dallas, TX)
    …arbitration cases. This position involves reviewing subrogation demands, and moving claims to successful resolution. Additionally, the specialist will respond ... Location(s) P&C-3400 N Central Expwy-Richardson-TX, P&C- Corporate Circle-Henderson-NV, P&C-E Laurel-McAllen-TX, P&C-River Run Drive-Birmingham-AL **Details** Job… more
    Kemper (07/24/25)
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  • Branch Support Specialist - Security

    Allied Universal (Clear Lake Shores, TX)
    …to questions as needed + Receive inquiries from outside vendors on unemployment claims + Under the direction of Corporate Human Resources, conduct HR-related ... company discounts, perks, and more. Allied Universal(R) is hiring a Branch Support Specialist . The Branch Support Specialist is responsible for being the primary… more
    Allied Universal (07/30/25)
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  • Neuroscience Specialist

    Otsuka America Pharmaceutical Inc. (Amarillo, TX)
    …America Pharmaceutical Inc. is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka ... health. In its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (07/19/25)
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  • SIU Specialist - Pharmacy Tech - Remote…

    Prime Therapeutics (Austin, TX)
    …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** Responsible ... to recommend for audit or investigation. Serves as a corporate resource on fraud, waste and abuse issues and...support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned.… more
    Prime Therapeutics (06/24/25)
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