Medical Claims Examiner

Claims Examiner – San Antonio, TX ($22.50/hr, Mon–Fri 8am–5pm)

Adecco is hiring a Claims Examiner responsible for processing health plan claims and supporting provider inquiries.

Key Requirements

Recent medical claims experience REQUIRED

Experience with medical claims adjudication

Knowledge of Medicaid and Medicare guidelines

Strong understanding of healthcare terminology and claims processing procedures

Ability to review, verify, and accurately process claims

Previous claims department experience preferred

Core Responsibilities

Review and adjudicate medical claims for accuracy and compliance

Ensure timely and accurate claims processing

Handle provider inquiries and resolve claim issues

Perform data entry, track disputes, and support administrative functions

Qualifications

High school diploma or GED

Strong attention to detail and data accuracy

Effective communication and customer service skills

Basic Microsoft Office and data entry skills (50+ WPM preferred)

What’s Offered

Starting pay: $22.50/hour

Benefits available after 30 days

Pay Details: $22.50 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act

• Los Angeles City Fair Chance Ordinance

• Los Angeles County Fair Chance Ordinance for Employers

• San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.