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Dallas, Texas

•

Yesterday

DatamanUSA is looking for a Sr. Claims Adjuster for our direct client based in TX. This is a great opportunity for someone who is a quick learner with excellent people skills. Job Details: Job Title: Sr. Claims Adjuster Location: Dallas, TX Duration: 6 months Roles & Responsibilities: *) Manages complex, high exposure claims and lawsuits arising out of DART operations to obtain the most cost effective and beneficial outcome. Minimum Qualification: *) Five (5) years related experience in in

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Full-time, Part-time, Contract, Third Party

USD 30-35

W2 - Hiring: Sr. Pega Lead Business Analyst with HealthCare Claims @ REMOTE

Remote

•

Yesterday

Hello, Visa. Independent candidate - Need to work on W2 Role: Sr. Pega Lead Business Analyst with HealthCare Claims Location: REMOTE Duration: Long Term Contract Minimum Qualifications: Pega business analysis experience Experience working with Agile methodology Prior hands-on work experience with Pega, Claims finance and SCE exp Healthcare Industry Knowledge Large-scale design of business solutions in Pega End-to-end claims lifecycle from a business process standpoint Post claim adjudication (g

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Contract

Depends on Experience

Claims Domain Test Lead

Remote

•

Yesterday

Job: Claims Domain Test Lead Location: Remote(USA) Claims Domain Test Lead: Play the role of Claims Domain lead for MMIS health care projects. Drive the test strategy and process, domain knowledge, performs analysis of business requirements, designs and develops test plans, ensures quality process, coordinates with customers on delivery and deployments. Works in team environment and provides testing guidance throughout the entire life cycle. Responsible to meet customer expectations, troublesho

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Contract, Third Party

$70 - $75

SAP Warranty And Claims Consultant

Remote

•

26d ago

Role: SAP Warranty and Claims ConsultantLocation: 100% RemoteType: C2C/C2H/W2/1099Visa: AnyJob Description:SAP Warranty and Claims Consultant will be responsible for managing warranty claims in the automobile domain. This is a functional role that requires expertise in SAP systems and deep knowledge of warranty and claims processes. Responsibilities:Collaborate with cross-functional teams to understand business requirements related to warranty and claimsDesign and implement SAP solutions to stre

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Contract

80 - 100

Claims Tester

Remote

•

Today

Job: Claims Tester Location: Remote(USA) Claims Tester: Responsible for claims testing for MMIS health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, designs and develops test plans, ensures quality process, coordinates with customers on delivery and deployments. Works in team environment and provides testing guidance throughout the entire life cycle. Responsible to meet customer expectations, troubleshoot problems in the applica

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Contract, Third Party

$60 - $65

Duck Creek Claims Lead

Remote or New York, New York

•

30+d ago

Hi, please find the JD below and share resume if interested. Core Qualifications 7 years or more of progressive experience in information technology, including deep hands-on work with Duck Creek Claims $or similar claims platform$ across configuration, integration development, business rules, and overall solution design. Demonstrated track record of leading full Claims system rollouts or executing complex, enterprise-level enhancements. Solid domain knowledge of property and casualty insurance

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Contract

Depends on Experience

AR Claims Analyst

Remote

•

21d ago

The RCM Associate supports daily revenue cycle work to help claims move correctly from start to finish. This role may work on insurance verification, claim submission, accounts receivable follow-up, or payment posting based on business needs. The associate is expected to follow written instructions, complete assigned tasks on time, and update records accurately. Work assignments may change as priorities change. Key Responsibilities: Work assigned insurance claims until they are paid, denied, or

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Full-time

$40,000 - $50,000

Healthcare Data Engineer with Enrollment & Claims Exp - 100% Remote (or )

Remote

•

5d ago

Position: Healthcare Data Engineer with Enrollment & Claims Exp Location: Remote but candidate must be located and can work only from below states Approved states: Alabama Alaska Arizona Arkansas Florida Georgia Idaho Indiana Iowa Kansas Kentucky Louisiana Maine Michigan Minnesota Mississippi Missouri Nebraska New Mexico North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia West Virginia Wisconsin Wyoming

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Contract, Third Party

Depends on Experience

Epic Build Analyst – Professional Billing (PB) Claims & Remittance

Remote

•

Today

Job Title: Epic Build Analyst Professional Billing (PB) Claims & Remittance Location - Remote Principal Duties Epic analyst certified in PB Claims and Remittance with extensive experience building payors and plans in Epic. The analyst will cover support duties including upgrades, testing, ticket resolution, and system maintenance. The role requires coordination with FTEs, operations teams, and other application teams. Minimum Qualifications Under varying levels of direction and expertise, the a

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Third Party, Contract

Depends on Experience

Snowflake Architect with (EHR, Claims Data, Clinical Research Data)

Remote

•

28d ago

Job Title: Snowflake Architect with (EHR, Claims Data, Clinical Research Data & Healthcare or Life Sciences) Location: Fully Remote Position type: Long term Contract Rate: DOE Description:- Healthcare Data Ecosystems: 10+ years in IT with a focus on Electronic Health Records (EHRs), claims data, and clinical research data. Snowflake Implementations: 35+ years architecting multi-tenant Snowflake environments specifically for healthcare or life sciences. Compliance Leadership: Extensive exp

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Contract

60 - 65

Medical Claims Auditor (Remote - Texas)

Remote or Dallas, Texas

•

Today

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary The Medical Claims Auditor is responsible for reviewing and analyzing medical claims to ensure accuracy, compliance, and adhere

Full-time

USD 30,500.00 - 42,500.00 per year

Salesforce Business Architect/Delivery Lead - Claims

Remote or Miami, Florida

•

Today

Job Description We Are: Accenture's Salesforce practice, and we live to see what this platform can do. Since we were one of the first on the scene, we're the largest global Salesforce practice, not to mention one of the best. In fact, we are the industry-leader for building Salesforce solutions, and we are Master Certified in all 12 industries and clouds. We use tech like Lightning, Einstein, and Bolt to build stronger, better relationships with customers. And we are always learning. We're bui

Full-time

USD 132,500.00 - 302,400.00 per year

SAP S/4 Service Warranty claims with Automobile expereince

Remote

•

6d ago

Job Description An SAP S/4 Service Warranty Consultant is responsible for designing, configuring, and optimizing Warranty Management processes within the SAP S/4HANA Service (formerly CS/SM) module. The role involves implementing endtoend warranty workflows, integrating service processes with logistics and finance, and ensuring accurate warranty claims processing for both internal and external stakeholders. Key Responsibilities Must Skills: S/4 services Warranty claims with Automobile

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Third Party, Contract

Depends on Experience

Guidewire Developer- Claims (REMOTE)

Remote

•

5d ago

Job Title: Guidewire Developer- ClaimsLocation: REMOTE Must: Active Guidewire Certification Job Summary:We are looking for experienced Guidewire Consultants with strong Claims expertise and active Guidewire certifications. The ideal candidate will have hands-on experience with Guidewire ClaimCenter configuration, development, and integrations within a P&C insurance environment. Responsibilities: Work on Guidewire ClaimCenter implementations and enhancements Configure rules, workflows, PCF screen

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Full-time, Third Party

$1+

Medical Claims Auditor (Remote - Texas)

Remote or Houston, Texas

•

Today

Full-time

USD 30,500.00 - 42,500.00 per year

Medical Claims Auditor (Remote - Texas)

Remote or Austin, Texas

•

Today

Full-time

USD 30,500.00 - 42,500.00 per year

Lead Director - Software Engineering - Commercial Claims

Remote or Irving, Texas

•

Today

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary: The Lead Director of Software Engineer

Full-time

USD 144,200.00 - 288,400.00 per year

Senior Product Manager Claims Technology & AI Solutions

Remote

•

14d ago

Title: Senior Product Manager Claims Technology & AI Solutions Location: Remote Duration: 6 Months+ can be extendable Domain/Industry: Preferably Insurance Type: Contract Key Responsibilities: Drive product vision, strategy, and execution for claims-focused technology solutions.Partner with engineering and business leadership to design scalable, AI-powered products.Simplify complex claims processes into user-friendly digital workflows.Define and manage product roadmaps, prioritize features, and

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Contract, Third Party

$75 - $80

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