- Sedgwick (Dallas, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , Bodily Injury **PRIMARY PURPOSE** : To analyze complex or ... technically difficult general liability claims to determine benefits due; to work with high...to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication… more
- Sedgwick (Dallas, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - (Hybrid/Agile Schedule - Auto w/ Litigation Experience) + ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (Plano, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (Agile/Hybrid Schedule - TX or WI) Are you ... PURPOSE OF THE ROLE:** To analyze commercial auto bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the… more
- Sedgwick (Dallas, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , BI- REMOTE (Commercial Trucking) **PRIMARY PURPOSE** : To ... analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the… more
- NTT America, Inc. (Plano, TX)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Claims Examiner to join our team in Plano, Texas (US-TX), United ... + Work independently to research, review and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are… more
- NTT America, Inc. (Plano, TX)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Claims Examiner to join our team in Plano, Texas (US-TX), United ... States (US). + Understand, Gathering and Prepare the requirements for Business. + Works under supervision with internal and external teams to understand customer requirements + Ability to elaborate on the details of a project + Collaborate with Automation… more
- Molina Healthcare (Dallas, TX)
- …combination of education and experience **PREFERRED EXPERIENCE:** 3+ years of experience in claims as Adjuster or claims examiner in the healthcare ... of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** + Comprehensive claims processing experience (QNXT) as Examiner or Adjuster +… more
- Sedgwick (Dallas, TX)
- …Workplaces in Financial Services & Insurance General & Product Liability Complex Claim Examiner - Multi-State Preferred - Hybrid - Sedgwick Office **ARE YOU AN IDEAL ... - Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims … more
- Sedgwick (Dallas, TX)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- Molina Healthcare (Dallas, TX)
- …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 ... resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to… more
- 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
- CDM Smith (Dallas, TX)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...such as CPA (Certified Public Accountant), CFE (Certified Fraud Examiner ), or CFF (Certified in Financial Forensics). **EEO Statement:**… more
- Sedgwick (Dallas, TX)
- …Bachelor's degree in business or related field required; Certified Fraud Examiner (CFE) designation strongly preferred. **Experience** Six (6) years of fraud ... **Technical Skills** : Legal knowledge of fraud & compliance laws, claims management, experience with AI, regulatory interpretation and applications, Microsoft 365.… more
- 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