TN Visa Claims Specialist Jobs
Claims Specialist roles qualify for TN visa sponsorship under the USMCA's accountant and economist categories when the position requires degree-level analysis of financial losses or insurance liability. Canadian professionals can apply at the border or a U.S. consulate without a cap or lottery. Mexican nationals require consular processing and are subject to TN allocation limits.
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INTRODUCTION
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
Pharmacy Claims Auditor CPhT
Do you have a CPhT certification?
Would you like to audit pharmacy claims for accuracy?
ABOUT THE ROLE
Conduent Payment Integrity Solutions performs in depth pharmacy audits on behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a wide variety of pharmacy records against our client’s pharmacy claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be required to represent our clients and conduct "on-site" pharmacy audits.
Responsibilities
- Examining and interpreting pharmacy records against submitted claim data for potential discrepancies.
- Utilizing specific client instructions, federal and state regulations, and standards of practice to properly access pharmacy documentation.
- Researching board of pharmacy regulations, and state/federal laws as they relate to prescription requirements and pharmacy practices.
- Responding to pharmacy calls regarding audit results and dealing with clients periodically to report audit results.
- Conducting Onsite and Desktop and Credentialing Audits in a professional and respectful manner.
- Using prescription knowledge to review pharmacy submitted documentation against submitted claim data.
- Assessing and producing detailed descriptions of pharmacy operations and procedures.
- Making confirmation calls to pharmacies prior to audit date and personally handling audit reschedules.
- Performing other duties and responsibilities as assigned.
REQUIREMENTS
- Have National CPhT Certification through the Pharmacy Technician Certification Board (PTCB). Or be able to obtain one within the first few months.
- Have extensive “retail” pharmacy experience.
- Be living in commutable distance to the assigned territory (San Antonio TX).
- Have valid driver's license and have a reliable car to visit pharmacies for audits in the local geography.
- Be able to travel overnight/flight 1 week/month (25%).
- Be proficient with Windows and Microsoft Office.
- Be able to stand for long periods of time (Up to 8 hours).
- Be able to lift heavy boxes (about 20 lbs.) containing prescription records. (Most records are electronic.)
FLEXIBLE WORKING
At Conduent, we want you to be yourself. We recognize that everyone is different and that how people want to work and deliver at their best is different for everyone too.
In this role, you can expect the following working conditions:
- Hybrid work: Will be working from home 25% of the month and will be working in the field doing audits at different pharmacy locations 75% of the month.
WORKING FOR YOU
We offer perks and rewards designed to support you:
- Health & Welfare Benefits: Comprehensive plans tailored to your needs, effective from day one.
- Retirement Savings: Robust programs to help you secure your financial future.
- Employee Discounts: Access to a wide range of discounts on merchandise, services, travel, and more.
- Career Growth Opportunities: Paths for advancement within a global organization.
- Paid Training: Learn while you earn with award-winning learning platforms.
- Paid Time Off: Competitive PTO packages to help you recharge.
- Great Work Environment: Join an award-winning culture that values diversity and inclusion.
JOIN US:
At Conduent, we are united by a shared mission. We understand that our success is driven by the success of our associates. When you join us, you’ll find opportunities to:
- Bring your authentic self to work every day.
- Grow and thrive both personally and professionally.
- Make a meaningful impact with our clients, in our communities, and for the millions of people we serve.
With a large workforce across 24 countries, we’re proud to foster a truly global culture—one that supports well-being, values every contribution, and empowers our people to grow both personally and professionally.
Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is ($57,000).
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent's ADAAA Accommodation Policy.
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Get Access To All JobsTips for Finding TN Visa Sponsorship as a Claims Specialist
Align your credentials to the qualifying category
TN visa officers assess whether your degree and job duties fit a USMCA-listed occupation. A Claims Specialist role must map to accountant, economist, or a similar category. Your transcript and degree title need to match the duties description your employer provides.
Target insurers with established cross-border hiring
Property and casualty carriers, third-party administrators, and reinsurance firms regularly hire Canadian and Mexican professionals. Search for employers who have previously posted roles noting TN visa eligibility, which signals in-house familiarity with the filing process.
Secure a detailed offer letter before crossing
Canadian professionals can obtain TN status at a port of entry, but the offer letter must specify your job title, duties, required degree, and employment duration. Vague letters are the leading cause of port-of-entry denials for this role.
Confirm your employer understands TN support letter requirements
Your employer will need to prepare a support letter documenting your job offer, qualifications, and how you meet TN eligibility requirements for the Claims Specialist role. If you're Canadian, you'll present this letter at the U.S. port of entry; if Mexican, your employer will submit it with your application to a U.S. consulate. If your hiring manager is unfamiliar with TN requirements, flag this early to avoid delays.
Use Migrate Mate to filter roles by employer visa experience
Not all employers are willing to support TN visas. Migrate Mate lets you search Claims Specialist openings specifically from employers with recent visa filings, so you're not spending time on companies that may be less experienced with work visa sponsorship.
Prepare for category scrutiny if your title is hybrid
Roles blending claims analysis with customer service or adjusting functions can face pushback at the border or consulate. Have your employer draft a duties letter that foregrounds the analytical and financial components to keep the application within a recognized USMCA category.
Claims Specialist TN Visa: Frequently Asked Questions
Does a Claims Specialist role qualify for TN visa sponsorship?
It depends on how the role is structured. TN visa eligibility requires the position to fall under a USMCA-listed occupation such as accountant or economist. A Claims Specialist focused on financial loss analysis, liability assessment, or actuarial review is more likely to qualify than one centered on customer service or basic claims intake. Your employer's duties letter is critical to making the case.
How does TN visa sponsorship for Claims Specialists compare to H-1B?
TN has no annual lottery, no cap for Canadians, and no multi-month wait for USCIS adjudication. Canadians can receive TN status at a port of entry the same day. H-1B visa requires an April lottery, a long processing timeline, and employer-paid filing fees. For Claims Specialists who qualify under a USMCA category, TN is a faster and more predictable path to U.S. employment.
What documents does a Canadian Claims Specialist need at the border for TN admission?
You'll need a valid Canadian passport, a detailed offer letter from your U.S. employer specifying your title, duties, degree requirement, and employment period, and proof of your qualifying degree such as a transcript or diploma. Some officers also ask for professional credentials or a resume. Having your employer's contact information available in case the officer calls to verify the role is also advisable.
How can I find Claims Specialist jobs where the employer already understands TN sponsorship?
Migrate Mate is built specifically for this search. It surfaces Claims Specialist openings from employers with documented TN and USMCA sponsorship history, so you're not discovering employer reluctance after an offer is extended. Filtering by sponsorship history at the start saves weeks of back-and-forth with HR teams unfamiliar with TN requirements.
Can a Mexican Claims Specialist use TN visa sponsorship, and is the process different from Canada?
Yes, Mexican nationals can use the TN visa for qualifying Claims Specialist roles, but the process differs. Mexican applicants must go through consular processing at a U.S. embassy or consulate in Mexico rather than a port of entry. Mexico also has a finite TN allocation, so timing and consulate workload can affect wait times. The qualifying occupation categories and documentation requirements are the same as for Canadian applicants.