• 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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  • Unemployment Specialist

    Sedgwick (Austin, TX)
    …difficult unemployment claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices or ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Unemployment Specialist **PRIMARY PURPOSE** : To analyze complex or technically… more
    Sedgwick (12/05/25)
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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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  • 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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