Healthcare Claims Examiner - Impactful Adjudication
GuideWell
A leading healthcare firm in San Antonio seeks a Claim Examiner to handle the processing and adjudication of healthcare claims. The role requires at least 2 years of related experience and involves duties such as claims processing, investigations, and resolving appeals. Candidates should possess a high school diploma and relevant knowledge, particularly in coding and decision-making. Comprehensive benefits are offered, prioritizing employee wellbeing and personal circumstances. #J-18808-Ljbffr GuideWell
- ...about this job. WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years... ...Dates: 1/5/2026 or 2/2/2026 What is your impact? As a Claim Examiner, you will handle processing and adjudication for healthcare claims. This will include claims...SuggestedFull timeTemporary workPart timeWork experience placementWork at office
$21 per hour
...Claims Examiner – San Antonio, TX ($21/hr, Mon–Fri 8am–5pm) Adecco is hiring a Claims Examiner... ...REQUIRED Experience with medical claims adjudication Knowledge of Medicaid and Medicare guidelines Strong understanding of healthcare terminology and claims processing procedures...SuggestedHourly payTemporary workWork at officeLocal area- A healthcare company in San Antonio is seeking a Claim Examiner to manage and process healthcare claims. Candidates must have at least 2 years of relevant experience and a high school diploma or GED. The role requires knowledge of CPT and ICD-9 coding, and the ability to...SuggestedWork at office
- ...POSITION SUMMARY/RESPONSIBILITIES Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Children’s Health Insurance Program) according to departmental and regulatory requirements. Maintains audit standards as defined by...Suggested
$21.16 - $31.71 per hour
San Antonio Staffing is looking for Claims Adjustment Support personnel to assist in managing claims payments and records. You will also provide counsel to claimants regarding coverage and benefits, ensuring timely claims resolution. The ideal candidate will have at least...SuggestedHourly payWork at office$83k - $100k
...AlphaStaffHCM™ is searching for an Injury Examiner. This insurance client empowers members... ...auto and homeowner bodily injury claims, UM/UIM, and small business claims to include... ...investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and...Contract workWork at officeLocal area- ...Claims Examiner & Support Specialist I We are seeking a detail-oriented Claims Examiner & Support Specialist I to support healthcare claims operations through accurate claims processing, provider... ...responsible for reviewing and adjudicating delegated claims, resolving...Work at office
- Sedgwick Claims Management Services Ltd is seeking a Workers Compensation Examiner in San Antonio, Texas. The ideal candidate will analyze workers' compensation claims, ensuring proper adjudication and compliance with service expectations. This role requires strong claims...Flexible hours
$57.97k - $97.82k
...part of what truly makes us special and impactful. We are proud to support active-duty military... ...bodily injury or auto PIP/MP medical claims to include confirming coverage,... ...investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and...Contract workH1bWork at officeRemote workRelocation packageMonday to FridayAfternoon shift3 days per week- Tristar Insurance is looking for an experienced claims handler in San Antonio, TX, to manage all aspects of medical-only claims from inception to conclusion. The role requires strong analytical skills and the ability to communicate effectively with various stakeholders...Work at office
$40k - $50k
Position Summary Under close supervision, manages all aspects of medical-only claims handling from inception to conclusion within established authority and guidelines. Job Details Level: Experienced Location: San Antonio, TX Position Type: Full Time Salary Range: $40,0...Full timeWork at officeShift work$15k
A leading claims administration partner is seeking a Desk Adjuster in San Antonio, Texas. The ideal candidate will manage property and casualty claims up to $15,000, evaluate policies, and conduct thorough investigations. Requires a Bachelor's degree and three years of...$40k - $50k
...Claims Examiner I (Medical Only Adjuster Experience) Fully Remote San Antonio, TX 78216 Salary Range $40,000.00 - $50,000.00 Salary/year Level Experienced Position Type Full Time Job Shift Day Category Insurance POSITION SUMMARY: Under close supervision, manages...Full timeWork at officeRemote workLong distanceShift work$17 - $19 per hour
A global healthcare technology organization is seeking a W2 Contract Billing Specialist in San Antonio, Texas. The ideal candidate will have... ...least 2 years of experience in medical billing or healthcare claims. You will manage DME billing submissions and ensure compliance...Hourly payContract work- ...This role supports medical billing processes, handles insurance claims, and assists patients with billing questions. No prior medical... ...ideal candidate is organized, detail-oriented, and eager to learn healthcare administration. Benefits include health insurance options and...Work at office
- ...Analyze complex problems pertaining to claim payments, eligibility, other insurance,... ...issues that are beyond the scope of claim examiners and senior claim examiners that affect claims... ...operations and reporting to assure auto adjudication. Perform in accordance with company...Full time
$100k
...but must live in US and preferably within Central/Eastern Time Zone Compensation: Commission only based on successful recovery of claims Schedule: Flexible full-time caseload with preferred Monday to Friday during business hours COMPANY OVERVIEW Phoenix...Full timeContract workLive inWork at officeRemote workMonday to FridayFlexible hours- ...Adjuster to support non‑attorney involved soft tissue bodily injury claims. This role is responsible for confirming coverage, determining... ...losses, evaluating damages, negotiating settlements, and adjudicating claims in compliance with applicable state laws and...Work at officeLocal areaRelocation packageMonday to FridayAfternoon shift3 days per week
$69.2k - $148.2k
...team is the driving force behind our best in class underwriting, claim and risk engineering capabilities. **Responsibilities:***... ...plan for each client based on their individual needs.* Positively impacting and influencing final account pricing and terms.* Driving accountability...Temporary workWork at officeRemote work3 days per week- ...talent. Internal mobility opportunities. Visibility to senior leaders and partnership with cross functional teams. Opportunity to impact change. Benefits - competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings...Work at officeLocal areaRemote work
- ...talent. Internal mobility opportunities. Visibility to senior leaders and partnership with cross‑functional teams. Opportunity to impact change. Benefits - competitive compensation, paid time off, comprehensive wellness benefits and programs, employer‑funded health...Full timeWork at officeLocal areaRemote work
- ...consistent delivery and execution of the Circle of Service process; tailoring a service plan for each client based on needs. Positively impacts and influences final account pricing and terms. Successfully sells the proposal. Responsible for, or influences, retention. Takes...Temporary workFlexible hours
- Sedgwick is seeking a Claims Examiner for Auto and Commercial Trucking in San Antonio, Texas. The successful candidate will analyze and process complex claims and ensure proper documentation and investigations. This role requires a Bachelor's degree (preferred), five years...Remote jobFlexible hours
- BITCO Corporation is seeking a Sr. Claims Specialist to join our branch office located in San Antonio, TX . As a respected specialty insurer... ...with integrity and precision, and striving to make a meaningful impact in everything we do. These values drive our mission to protect...Temporary workWork at officeRemote workFlexible hoursNight shift
- Overview Claims Order Management Specialist - Entry Level at MillenniumSoft Inc. Location: San Antonio, TX. Duration: 12 Months. Total... ...supervision / guidance; accountable for individual results and impact on team. Qualifications Seeking Candidates that have the ability...Contract workDay shift
$75k - $90k
Claims Examiner - Auto - Commercial Trucking I (Remote) Pacific or Mountain Time Zone Primary Purpose To analyze and process complex auto claims for a large commercial trucking account by reviewing coverage, completing investigations, determining liability and evaluating...Remote workFlexible hours- ...Claims Clerk The Claims Clerk is responsible for performing clerical and administrative duties that support the efficient operation... ...setting ~ Attention to detail ~ Experience with claims adjudication software (EZ-Cap preferred, but not required) Education...Work at officeMonday to Friday
- Hispanic Alliance for Career Enhancement is seeking a Workers Compensation Examiner in San Antonio, TX. The ideal candidate will analyze Workers Compensation claims and ensure timely resolution within service expectations. A high school diploma is required, with 5 years...Remote jobFlexible hours
- Tristar Insurance is seeking an experienced claims examiner in San Antonio, TX, to manage all aspects of indemnity claims handling. You will effectively manage a caseload of 150 complex workers’ compensation files, ensuring compliance with state laws and company guidelines...
$57.97k - $103.87k
...other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses.... ...investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable for...Contract workH1bWork at officeRemote workRelocation package3 days per week
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