- 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
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ), FI ( ... _fully insured_ ), Reinsurance, and/or RX claims . They will adjudicate complex, sensitive, and/or specialized ...all cost containment measures to assist in the claim adjudication process. + Perform claim re-work calculations. + Follow… more
- 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
- Komatsu (Longview, TX)
- …by the Regional teams and Distributors and act as Subject Matter Expert for adjudication of warranty claims . 7. Data Analytics: Responsible for updating Regional ... Sr. OE Product Support Specialist Date: Jun 6, 2025 Location: Longview, TX,...is currently searching for a Sr. OE Product Support Specialist in Longview Texas. The job purpose of the… more
- Elevance Health (Grand Prairie, TX)
- …of business. This position mandates proficiency in multi-system data analysis, claims adjudication , and regulatory compliance, handling complex cases beyond ... claims processing. + Apply client-specific COB methodologies for appropriate claims adjudication and payment reconciliation. + Identify and rectify… more