• Fortuna BMC (Irving, TX)
    Join Our Team as an Assistant Claims Examiner - Medicaid/Medicare Focus Are you someone who thrives on accuracy, empathy, and helping others navigate complex ... systems? We're seeking a dedicated Claims Processor to support the timely and precise handling...based on state regulations after 90 days of employment Medical , dental, and vision are offered after a waiting… more
    Upward (07/20/25)
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  • Medical Claims Examiner

    NTT DATA North America (Dallas, TX)
    NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or Xcelys experience is a plus) Must be able to work Monday to Friday 7 AM to 4 PM ... + 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 DATA North America (07/18/25)
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  • Medical Claims Examiner

    US Tech Solutions (Irving, TX)
    …years of claims experience + Experience working with insurance and/or medical terminology + Experience working with appropriate claims processing procedures ... 6+ Months Contract** **Description:** + Processes less complex or small standard claims to ensure accurate and timely completion. + Essential Job Functions +… more
    US Tech Solutions (07/18/25)
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  • Claims Examiner Intermediate

    OneMain Financial (Fort Worth, TX)
    Job Description ** Claims Examiner Intermediate** The Claims Examiner Intermediate is responsible for evaluating and processing claims on primarily ... correspondence to internal/external customers. **n the Role** + Evaluate claims against eligibility requirements, provisions and applicable processes. + Enter… more
    OneMain Financial (07/10/25)
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  • Workers Compensation Claims Examiner

    Sedgwick (Irving, TX)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Roseville, CA **California workers compensation ... 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 (07/18/25)
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  • Claims Examiner General Liability…

    Sedgwick (Irving, TX)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner General Liability - Irving, TX - Hybrid **PRIMARY PURPOSE** : ... To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and… more
    Sedgwick (07/18/25)
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  • Claims Examiner - Liability…

    Sedgwick (Irving, TX)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (Commercial Auto) Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
    Sedgwick (07/03/25)
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  • Workers Compensation | Claims

    Sedgwick (Plano, TX)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation | Claims Examiner | Jurisdictions: TX, OK, and LA | Hybrid - Plano, ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...medical , dental vision, 401K on day one. \#claimsexaminer # claims #hybrid Sedgwick is an Equal Opportunity Employer and… more
    Sedgwick (07/18/25)
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  • Claims Examiner

    Sedgwick (Fort Worth, 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...auto policies, coverage's, principles, and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance +… more
    Sedgwick (07/18/25)
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  • Claims Examiner /Processor

    US Tech Solutions (Irving, TX)
    …concerns as appropriate. **Basic Qualifications:** + Minimum 2-3 years' experience of claims . + Experience working with insurance and/or medical terminology. + ... **Schedule: M-F, 8-4** **Summary:** + P **rocesses less complex or small standard claims to ensure accurate and timely completion.** **Primary job duties:** + Enters… more
    US Tech Solutions (07/19/25)
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  • Investigator, Special Investigative Unit

    Molina Healthcare (Fort Worth, TX)
    …health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU ... with other internal departments, including Compliance, Corporate Legal Counsel, and Medical Officers in order to achieve and maintain appropriate anti-fraud… more
    Molina Healthcare (07/19/25)
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