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Sigma Inc Jobs (NOW HIRING)

9151476 - Claims Examiner Irving, TX 3 Months contract Sigma Inc. is currently looking for a Claims Examiner in Irving, TX. Shift Timings: Work Schedule: 5 Days - 8 Hours Summary: * The Claims ...

Description FII USA, Inc., a Foxconn Technology Group Company, is seeking a Lean Six Sigma Champion to lead and execute process improvement initiatives across manufacturing operations, with a focus ...

Lean Six Sigma Champion

Mount Pleasant, WI · On-site

$76K - $102K/yr

Aaron Lemkau Description FII USA, Inc., a Foxconn Technology Group Company, is seeking a Lean Six Sigma Champion to lead and execute process improvement initiatives across manufacturing operations ...

Site Alignment with Lean Six Sigma Vision and Strategy: * Work closely with the Regional Lean Manager to introduce and sustain a Lean Six Sigma culture into the site * Work with Operations Manager ...

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Sigma Inc information

What are the key skills and qualifications needed to thrive as an employee at Sigma Inc., and why are they important?

To thrive as an employee at Sigma Inc., you typically need relevant industry knowledge, a strong educational background, and experience suited to the specific role. Familiarity with the company’s standard software tools, technical platforms, and any required certifications or licenses is often expected. Strong communication, adaptability, and problem-solving skills help employees excel in Sigma Inc.'s collaborative and innovative environment. These skills and qualifications are crucial to effectively contribute to company goals and adapt to evolving business needs.

What types of projects do employees at Sigma Inc. typically work on, and how do teams collaborate to achieve project goals?

At Sigma Inc., employees often engage in multidisciplinary projects that require close collaboration across departments such as engineering, product management, and customer support. Teams typically use agile methodologies, holding regular stand-up meetings and utilizing project management tools to ensure clear communication and progress tracking. Working at Sigma Inc. means participating in brainstorming sessions, code reviews, and cross-functional meetings to deliver innovative solutions to clients. This collaborative environment helps team members learn from each other and develop professionally while contributing to the company's overall success.

What is Sigma Inc and what do they do?

Sigma Inc is a company specializing in providing advanced business intelligence and analytics solutions. They help organizations make data-driven decisions by offering tools and platforms that simplify the process of analyzing large sets of data. Sigma Inc focuses on empowering users across various industries to access, explore, and visualize their data in real-time, often through cloud-based technologies. Their services are designed to be user-friendly, enabling even non-technical users to gain valuable insights. The company is known for its commitment to innovation and customer support.

What is the difference between Sigma Inc vs Data Analyst?

AspectSigma IncData Analyst
Required CredentialsBachelor's degree in relevant field, certifications like Six Sigma or data analysis toolsBachelor's degree in statistics, mathematics, or related field; certifications like Microsoft Excel, SQL, or Tableau
Work EnvironmentCorporate offices, project teams, client sitesOffice settings, remote work, data-focused teams
Industry UsageConsulting, technology, manufacturingFinance, healthcare, marketing, technology
Common Search/ComparisonSigma Inc vs Data Analyst

While Sigma Inc often refers to a company specializing in process improvement and consulting, a Data Analyst focuses on interpreting data to support business decisions. Both roles require analytical skills and relevant certifications, but Sigma Inc roles may involve broader process optimization, whereas Data Analysts concentrate on data interpretation and reporting.

More about Sigma Inc jobs
What cities are hiring for Sigma Inc jobs? Cities with the most Sigma Inc job openings:
What states have the most Sigma Inc jobs? States with the most job openings for Sigma Inc jobs include:
Infographic showing various Sigma Inc job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.
Appeals and Grievance Specialist II

Appeals and Grievance Specialist II

Sigma Systems, Inc.

Irving, TX • Remote

Contractor

Medical

Posted 6 days ago

New


Job description


9165136 Appeals and Grievance Specialist II (Managed Care) – Irving, TX | 12-Week Contract

Location: Irving, TX
Job Type: 12-Week Contract
Company: Sigma Inc.
Schedule: Monday–Friday | 8-Hour Shifts

Join Our Team as an Appeals and Grievance Specialist II!

Sigma Inc. is seeking an experienced Appeals and Grievance Specialist II to join our healthcare team in Irving, TX. This role is ideal for professionals with Managed Care, Medicare Appeals & Grievances, Claims Review, Medical Terminology, and Healthcare Customer Service experience.

If you have a strong background in appeals processing, grievance resolution, claims analysis, Medicare regulations, HIPAA compliance, and provider/member communication, we'd like to hear from you!

Key Responsibilities
  • Investigate, review, and resolve member and provider appeals, grievances, and complaints.
  • Research claim denials, reconsiderations, and redetermination requests.
  • Interpret member benefits, Medicare policies, CPT/ICD coding, and reimbursement guidelines.
  • Analyze appeals and grievance data to identify trends and recommend process improvements.
  • Prepare clear, accurate written correspondence and decision letters to members and providers.
  • Collaborate with internal departments to ensure timely and compliant case resolution.
  • Educate members and providers regarding appeal and grievance procedures and benefit coverage.
  • Maintain HIPAA compliance while handling Protected Health Information (PHI).
  • Generate reports using Microsoft Word and Excel.
  • Participate in departmental meetings and continuous quality improvement initiatives.
Required Qualifications
  • Minimum 3 years of customer service experience within a Managed Care Plan.
  • Minimum 2 years of Appeals and Grievance experience in a Managed Care environment.
  • Experience researching and resolving healthcare claims, appeals, and grievances.
  • Knowledge of Managed Care, Medicare, Claims Processing, Appeals & Grievances, and healthcare regulations.
  • Strong analytical, research, and problem-solving abilities.
  • Excellent written and verbal communication skills.
  • Good typing and professional letter-writing skills.
  • Basic computer proficiency, including Microsoft Word and Excel.
  • Ability to work independently while meeting strict deadlines.
  • Excellent customer service and conflict resolution skills.
Preferred Qualifications
  • Knowledge of CPT and ICD coding.
  • Familiarity with Medicare-covered benefits, CMS, and TRICARE regulations.
  • Experience with medical terminology.
  • Experience analyzing appeals and grievance trends.
  • Healthcare insurance or health plan experience.
Required Skills
  • Appeals & Grievance Processing
  • Managed Care
  • Medicare
  • Claims Review
  • Claims Resolution
  • Medical Terminology
  • CPT Coding
  • ICD Coding
  • Healthcare Customer Service
  • Research & Analysis
  • HIPAA Compliance
  • Provider Relations
  • Member Services
  • Microsoft Word
  • Microsoft Excel
  • Written Communication
  • Letter Writing
  • Conflict Resolution
  • Time Management
  • Data Analysis