Claims & Leave Resolution Specialist
Sedgwick
Sedgwick is seeking a dedicated claims professional in Austin, TX to research, resolve, and administer escalated leave and disability inquiries across lines of business. You will analyze complex medical information, determine benefits, and communicate with claimants and clients to progress claims efficiently. The role requires strong analytical and interpersonal skills, experience with ERISA and state/federal regulations, and the ability to work autonomously within procedures while maintaining #J-18808-Ljbffr Sedgwick
- ...assistance, legal writing/research, health care claims processing, or a similar field. The Case... ...and case law as it relates to the resolution of each lien product. This individual will... ...Dental and vision insurance plans. Parental leave to support work-life balance. Short-term...ClaimsTemporary workWork at office
- Compass, LLC is seeking a Case Specialist to join our lien resolution team in Austin. The role supports managers, attorneys, and analysts by processing... ...large volumes of correspondence and auditing healthcare claim itemizations. Strong organization and communication skills...Claims
- ARCHER Systems seeks a Case Specialist in Austin to support our lien resolution team. You will organize lien movement, process high volumes of correspondence... ...Ideal candidates bring 6 months of related admin or claims processing experience and excellent organization,...ClaimsWork at office
- ...Case Specialist Compass, LLC has an immediate opening for a Case... ...to join our fast-paced lien resolution team. Candidates should have... ...legal assistant, health care claims processing, or experience in... ...insurance plans. ~ Parental leave to support work-life balance....ClaimsTemporary workWork at officeImmediate start
- ...including but not limited to Family Medical Leave (FMLA), complex paid and unpaid state,... ...accommodations, disability and statutory claims. Provides excellent customer service displaying... ...to support payment research and resolution. Communicates clearly and professionally...ClaimsWork at officeLocal area
$40k - $70k
...Summary The Workers’ Compensation Specialist is responsible for... ...specialist works to minimize claim costs while ensuring compliance... ...administer workers’ compensation leave of absence, return-to-work and... ...recommendations for claim resolution. Review invoices and claim-related...ClaimsLocal area$20 - $24 per hour
...timely manner. Ensure all transactions are balanced daily. ERA and Claim Management: Proactively identify and resolve ERA gaps (... ...major payer portals. Demonstrated experience with credit balance resolution and refund processing. Proficiency with medical billing software...ClaimsHourly payRemote workFlexible hours- ...service-oriented, motivated individual to join us asBenefits & Leave Managerto accomplish this mission.With ambitions to increase... ...and leave questions, eligibility, coverage issues, and claim resolution. Maintain and update benefits data in HRIS and vendor systems...ClaimsTemporary workWork at officeVisa sponsorshipWork visa
- ...charge review, accurate timely submission of insurance claims, failed claims/follow‑up resolutions, training, education, research, denial appeals,... ...Required Required Licenses/Certifications: Certified Coding Specialist (CCS) through governing body AHIMA OR Certified...ClaimsRemote jobWork experience placementWork at office
- ...benefits including paid vacation & sick leave, outstanding health & dental insurance, a... ...classification is distinguished from the Office Specialist Senior in that incumbents typically have... ...financial reports, including receipts, claims, and disbursements. Receives, posts and...ClaimsWork at officeMonday to Friday
- ...service-oriented, motivated Benefits & Leave Specialist to help bring our growth plans to life.... ...changes, terminations, leave and disability claims, COBRA administration, and other... ...issues, eligibility, plan rules, and claim resolution. Maintain and update employee...ClaimsTemporary workWork at office
- ...Central Billing Office as necessary. Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties. Responsible for scrubbing claims in order to submit compliant, truthful, and correct coding based on payer rules....ClaimsWork at office
- ...Davis-Bacon), force account, and cost documentation requirements Reconcile obligated, expended, and claimed costs and support final payment requests Coordinate resolution of outstanding compliance issues, deobligations, or scope changes prior to closeout Support audits,...ClaimsLocal area
$500 per month
...Manager Full‑time in office As an Event Specialist, you will work with other members of the... ...and sponsorship opportunities being claimed far in advance. Milestones are reached... ...and employee assistance program Parental leave including 10 weeks paid leave for birthing...ClaimsFull timeTemporary workWork at officeFlexible hoursWeekend workAfternoon shift- ...Pflugerville, TX Your Next Opportunity The HSE Specialist II is an experienced level professional... ...addresses or elevates issues needing resolution. What You’ll Do Collaborate with... ...measures. Support incident, near-miss, and claim investigations and communications....ClaimsFor contractorsWork at officeLocal areaFlexible hours
$3,000 - $4,999 per month
Career Opportunities: Disability Specialist II (19594) Posting ID 19594 -Posted 07/31/2026 -... ...Title: Disability Specialist II Job Title: Claims Examiner II Agency: Health & Human... ...predictable schedule in accordance with agency leave policy and performs other duties as assigned...ClaimsFull timeTemporary workPart timeWork at officeImmediate startRemote workShift workWeekend work- ...Job Description Job Description Austin-based law firm is seeking a detail-oriented and motivated person to join its legal claims resolution team. This team manages pre-suit legal claims and early-stage litigation involving allegedly defective motor vehicles across 1...ClaimsWork at officeLocal area
- ...TX to resolve mass tort healthcare liens and support our lien resolution workflow. The role is suited for a legal assistant or paralegal... ...drafting correspondence, uploading documents, auditing medical claims, and maintaining organized case files with clear notes. #J-188...ClaimsCasual work
- Aspire Allergy & Sinus is seeking a full-time Medical Claims Resolution Specialist to evaluate assigned payers, work rejections, invalid and denied claims, appeals and follow-up to bring the account to final resolution on open accounts within timely benchmarks. This role...ClaimsFull time
$58.7k - $75k
...complex front-end billing issues that impact claim acceptance and reimbursement. This role... .... Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure... ...benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much...ClaimsImmediate startWorldwide- Texas Health and Human Services Commission (HHSC) in Austin seeks a Complaint Coordinator to oversee intake, assignment, and resolution of inquiries and complaints related to Medicaid, CHIP, and Dental health plans. You will coordinate data, trends, and reporting, liaise...Remote work
- Texas Materials, a CRH company, is seeking a Leave Administrator to manage FMLA, ADA accommodations, and other leave programs across TX, LA, TN, AR, and MS. You will serve as a primary contact for the South Central division, ensuring compliant, confidential handling of...
- ...welcome all individuals. US Farathane is seeking an experienced EHS Specialist to oversee EHS activities at our Austin, TX manufacturing... ...audits and corrective action plans. Lead workers compensation claims, including paperwork and communications with injured employees...ClaimsWork experience placementLocal areaFlexible hoursShift work
- ...clients to keep cases on track. The role requires handling large volumes of correspondence, applying statutes and case law, and performing research to identify avenues for lien reduction and timely resolution while maximizing claimant recovery. #J-18808-Ljbffr ARCHER
- ...Spclst IV to manage day-to-day administration of FMLA and Parental Leave for HHSC and DSHS. You will analyze, interpret policies and... ...deadlines, and maintain confidential records while working with ER specialists and HR staff in a hybrid telework environment. #J-18808-Ljbffr...Remote job
- ...Position Summary The Revenue Cycle Specialist is responsible for managing the revenue cycle processes to ensure timely, accurate, and compliant... ...Medicare PartA billing and collections. This position oversees claims submission, payment posting, accounts receivable follow‑up,...ClaimsDaily paidFor contractors
- ...documentation needs. The role emphasizes CPT/HCPCS/ICD-9 coding knowledge and collaboration with healthcare providers to optimize claims and approvals. You will work remotely from the United States, supporting high-tech product reimbursement strategies and new product...ClaimsRemote job
- ...Associate to bridge customers with Logistics, Customer Service, and Sales. You will process inbound returns, investigate warranty claims, and provide solutions by email and phone in a fast-paced warehouse setting. We value proactive problem-solvers with strong Google...Claims
- Aspire Allergy & Sinus is seeking a full-time Medical Claims Resolution Specialist to evaluate assigned payers to include working rejections, invalid and denied claims, appeals and follow-up to bring the account to final resolution on open accounts within a timely manner...ClaimsFull timeMonday to FridayFlexible hoursShift workWeekend workAfternoon shift
$100k
...environment. Who We Want The Associate Claims Examiner is an entry-level position focused... ...processing claims from initiation to resolution, handling basic financial transactions, and... ...activities, team events, happy hours and more! Leave the suit and tie at home; our dress code...ClaimsWork experience placementCasual workWork at officeLocal areaRelocationRelocation packageDay shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims & Leave Resolution Specialist. Be the first to apply!
- remote medical claims processor Austin, TX
- claims assistant Austin, TX
- claim representative (remote) Austin, TX
- claim specialist Austin, TX
- medical insurance claims specialist Austin, TX
- claims resolution specialist Austin, TX
- medical claims analyst Austin, TX
- claims specialist remote Austin, TX
- claims consultant Austin, TX
- claims assistant workers compensation Austin, TX


