• Auto Claims Examiner , Bodily Injury

    Sedgwick (Dallas, TX)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Examiner , Bodily Injury . ** CLAIMS EXAMINER - BODILY ... some of the world's best brands? + Apply your examiner knowledge and experience to adjudicate complex customer ...examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
    Sedgwick (06/17/25)
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  • General & Product Liability Claims

    Sedgwick (Dallas, TX)
    …Fortune Best Workplaces in Financial Services & Insurance General & Product Liability Claims Examiner - Multi State Licensing Preferred - Telecommute US ... **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving… more
    Sedgwick (06/06/25)
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  • General Liability Claims Examiner

    Sedgwick (Irving, TX)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance General Liability Claims Examiner - Hawaii License Required Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...: To analyze complex or technically difficult general liability claims to determine benefits due; to work with high… more
    Sedgwick (06/19/25)
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  • Claims Examiner

    Sedgwick (Dallas, TX)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner **PRIMARY PURPOSE** : To analyze and process complex auto and ... commercial transportation claims by reviewing coverage, completing investigations, determining liability and...RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are… more
    Sedgwick (06/18/25)
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  • Claims Examiner Trainee

    CRC Insurance Services, Inc. (Fort Worth, TX)
    …the ability to process, evaluate, negotiate, adjust and resolve non-complex, standard claims in accordance with prescribed authority and best claims practices. ... the individual claim. With supervisor approval, negotiate with policyholders to settle claims of limited monetary value. 3. Develop and direct investigative plans.… more
    CRC Insurance Services, Inc. (06/06/25)
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  • OSS Coordinator

    Sedgwick (Dallas, TX)
    …& Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; and to ... within assigned group. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and operational expense… more
    Sedgwick (04/04/25)
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  • Investigator, Coding SIU

    Molina Healthcare (Dallas, TX)
    …enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State… more
    Molina Healthcare (06/19/25)
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  • Special Investigation Unit: Coordinator

    Kemper (Dallas, TX)
    …College Degree or equivalent work experience * Three years of insurance claims experience or related fraud analytics background. **Position Requirements:** + Strong ... and/or Analytics Academies are desirable. + Certified Insurance Fraud Analyst (CIFA), Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA)… more
    Kemper (06/18/25)
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  • Investigator, Special Investigative Unit

    Molina Healthcare (Dallas, TX)
    …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all current Molina employees: If you are interested in… more
    Molina Healthcare (06/15/25)
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