Medical Claims Examiner

Job Description

Job Description

Location: San Antonio, TX
Pay Rate: $22.50/hour
Schedule: Monday–Friday, 8:00 AM – 5:00 PM (Onsite)

Adecco is seeking a detail-oriented Claims Examiner to join our team. In this role, you will be responsible for processing and evaluating health plan claims while providing support to healthcare providers regarding claim inquiries.

Key Qualifications

• Recent medical claims experience (required)

• Hands-on experience with medical claims adjudication

• Working knowledge of Medicaid and Medicare regulations

• Strong understanding of healthcare terminology and claims workflows

• Proven ability to accurately review and process claims

• Previous experience in a claims or healthcare administrative role preferred

Primary Responsibilities

• Review, analyze, and adjudicate medical claims for accuracy and compliance

• Ensure claims are processed accurately and within required timelines

• Investigate and resolve provider inquiries and claim discrepancies

• Perform data entry and maintain detailed claim records

• Track, document, and support resolution of disputes

• Assist with general administrative and departmental support tasks

Education & Skills

• High school diploma or GED required

• Strong attention to detail with a focus on data accuracy

• Excellent communication and customer service skills

• Proficiency in Microsoft Office applications

• Typing speed of 50+ WPM preferred

What We Offer

• Competitive starting pay at $22.50/hour

• Benefits eligibility after 30 days of employment

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.