Current jobs related to (Agile) Claims Examiner - Irving - Sedgwick
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(Agile) Claims Examiner
1 month ago
Irving, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your...
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Claims Examiner
5 days ago
Irving, Texas, United States Sedgwick Claims Management Services Full timeJob SummarySedgwick Claims Management Services is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will play a critical role in analyzing high-level commercial general liability claims on behalf of our valued clients.Key Responsibilities:Analyze complex commercial general liability claims to determine benefits due to...
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(Agile) Claims Examiner
6 days ago
Irving, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your...
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(Agile) Claims Examiner
3 weeks ago
Irving, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your...
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Claims Examiner
1 month ago
Irving, United States GuideWell Full timeJob DescriptionGet To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. Key position details: This is a fully in office position: 8500 Freeport Parkway Irving, Texas 75063 Training schedule: 8:00am - 4:30pm Monday -...
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Insurance Claims Investigator
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Irving, Texas, United States Sedgwick Claims Management Services Full timeJob SummarySedgwick Claims Management Services is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will play a critical role in analyzing high-level commercial general liability claims on behalf of our valued clients.Key Responsibilities:Analyze complex commercial general liability claims to determine benefits due to...
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Medical Claims Examiner
6 hours ago
Irving, Texas, United States CSI Full timeJob SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at CSI. As a Medical Claims Examiner, you will be responsible for processing claims quickly and accurately, resolving claims at a high rate, and maintaining statistical and financial accuracy.Key ResponsibilitiesProcess claims (HCFA and UB) efficiently and effectively.Resolve...
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Medical Claims Examiner
1 week ago
Irving, Texas, United States CSI Full timeJob SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at CSI. As a Medical Claims Examiner, you will be responsible for processing claims quickly and accurately, resolving claims at a high rate, and maintaining statistical and financial accuracy.Key Responsibilities:Process claims (HCFA and UB) efficiently and...
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Medical Claims Examiner
3 months ago
Irving, United States CSI Full timeThe CSI Companies is actively seeking a Medical Claims Examiner for a fast-growing, international hospital system in the Irving, TX area that Forbes recently rated among the best employers in Texas!Job Summary$18-21/hour Depending on ExperienceON-SITE, Monday-Friday 8am–5pmContract-to-hire! Opportunities for growth and advancement Duties and...
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Insurance Claims Examiner, Auditor
5 days ago
Irving, Texas, United States Pacific Dental Services Full timeJob SummaryPacific Dental Services is seeking a highly skilled and detail-oriented Auditor, Insurance Claims to join our team. As an Auditor, Insurance Claims, you will play a critical role in ensuring accurate and maximum reimbursement for patient treatment from insurance carriers.Key ResponsibilitiesClaims Adjudication: Read and analyze Explanation of...
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(Agile) Claims Representative
2 months ago
Irving, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...
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Commercial Claims Analyst
5 days ago
Irving, Texas, United States Sedgwick Full timeAbout the RoleSedgwick is seeking a highly skilled Claims Examiner to join our team in the Midwest Region. As a Claims Examiner, you will play a critical role in analyzing and processing complex commercial General Liability claims on behalf of our valued clients.Key ResponsibilitiesAnalyze and process claims through well-developed action plans to achieve...
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Agile Project Coordinator
2 weeks ago
Irving, Texas, United States Strategic Staffing Solutions Full timeJob Title: Scrum MasterLocation: Irving, TXJob Overview:Engage in and provide consultation on moderately intricate projects and deliverables within the Agile framework, contributing to extensive planning associated with Scrum Master responsibilities. Assess and scrutinize moderately complex challenges faced by Scrum Masters that necessitate a thorough...
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Claims Processing Specialist
2 weeks ago
Irving, Texas, United States GuideWell Full timeJob OverviewAbout UsGuideWell is a leading healthcare third-party administrator with over three decades of expertise in developing tailored benefit solutions and managing personalized health plans.Position Details:This role is office-based.Standard training hours are Monday to Friday, 8:00 AM to 4:30 PM.Your Role:As a Claims Examiner, you will be responsible...
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Claims Processing Team Leader
2 weeks ago
Irving, Texas, United States GuideWell Full timeJob OverviewAbout UsGuideWell is a prominent healthcare third-party administrator with a rich history of over 30 years in delivering tailored benefit solutions and managing personalized health plans.Your RoleThe Claims Processing Team Leader will oversee a dedicated group of Claims Examiners, ensuring efficient operations in claims management.Key...
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Insurance Claims Reviewer
2 weeks ago
Irving, Texas, United States GuideWell Full timeJob OverviewAbout UsGuideWell is a prominent healthcare third-party administrator with over three decades of expertise in developing tailored benefit solutions and managing personalized health plans.Position Highlights:This role requires full-time office presence.Standard training hours are Monday to Friday, 8:00 AM to 4:30 PM.Your Role:As a Claims Examiner,...
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Insurance Claims Auditor
2 weeks ago
Irving, Texas, United States Pacific Dental Services Full timeInsurance Claims AuditorJoin Pacific Dental Services in a rewarding role that enhances your career within the dental industry. This position offers the chance to work alongside skilled professionals while ensuring optimal insurance claim reimbursements for patient care.Key ResponsibilitiesExamine Explanation of Benefits (EOBs) and modify claims in accordance...
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Pet Insurance Claims Specialist
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Irving, Texas, United States Questpro Full timeJob OverviewWe are in search of a licensed Property & Casualty (P&C) Pet Claims Specialist with a background in veterinary technology.Previous experience in pet insurance claims adjustment is essential.A background as a veterinary technician is required.An active P&C license is mandatory (or currently in process). KEY RESPONSIBILITIES:Evaluate assigned...
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Inventory Auditor 1 Dallas
1 month ago
Irving, United States alphabroder Full timeJob DetailsJob Location Dallas DC - Irving, TX Salary Range $18.50 - $24.05 Hourly Job Shift 4:00 am - 12:30 pm M - F DescriptionPosition Summary Perform inventory cycle counts and inspections to ensure high inventory accuracy levels and timely processing of customer returns and back to stock. Responsibilities Perform inventory counts which include RF...
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Property Desk Adjuster
3 months ago
Irving, United States Alacrity Solutions Full timeAlacrity Solutions Staff Desk Adjuster Alacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions. As one of the largest independent providers of insurance claims services in North America, we provide property, auto, heavy equipment, and casualty claims management services. Our staffing...
(Agile) Claims Examiner
1 month ago
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work Most Loved Workplace Forbes Best-in-State Employer (Agile) Claims Examiner - Workers Compensation | Midwest Region / IL Jurisdiction Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. PREFERRED GEOGRAPHIC LOCATIONS Midwest Region - Hybrid in office 1 day/week Candidates outside of the preferred geographic regions listed above may still be considered based on level of experience. PRIMARY PURPOSE OF THE ROLE: To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. ESSENTIAL RESPONSIBILITIES MAY INCLUDE: Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. Negotiating settlement of claims within designated authority. Communicating claim activity and processing with the claimant and the client. Reporting claims to the excess carrier and responding to requests for directions in a professional and timely manner. QUALIFICATIONS Education & Licensing: 5+ years of claims management experience or equivalent combination of education and experience required. High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Licensing / Jurisdiction Knowledge: Active adjuster's license preferred, not required. Experience handling IL jurisdiction a must. TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. #J-18808-Ljbffr
