Medical Claims Examiner
$22.5 per hourAdecco US, Inc.
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 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. Pay Details: $22.50 per hour Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to 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. #J-18808-Ljbffr
- ...management, digital solutions, human capital and training, and medical staffing. Lawelawe leverages our NHO status to secure federal... ...heritage. Who You Are You are a detailoriented Medical Claims Examiner professional with experience supporting medical claims, insurance...SuggestedFull timeContract workFor contractorsWork at officeLocal areaRemote workMonday to FridayWeekend workAfternoon shift
$22.5 per hour
...Claims Examiner – San Antonio, TX ($22.50/hr, Mon–Fri 8am–5pm) Adecco is hiring a Claims Examiner responsible for processing health plan... ...supporting provider inquiries. Key Requirements Recent medical claims experience REQUIRED Experience with medical claims...SuggestedHourly payTemporary workWork at officeLocal area- ...RESPONSIBILITIES Performs review, analysis, and adjudication of all claim types including coordination of benefits and DME claims.... ...claim processing experience is required. Thorough knowledge of medical terminology, ICD-9/CPT4 Coding, and general managed care principles...Suggested
- ...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
- ...Claim Examiner Position WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building... ...for accounts: Responsible for processing of claims (medical, dental, vision, and mental health claims) Claims processing...SuggestedFull timeTemporary workPart timeWork experience placementWork at officeMonday to FridayFlexible hours
- ...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 communication, and administrative support. This role is responsible for...Work at office
- ...Position: Sr Claims Examiner- Workers Compensation (CA) Location: 100% Remote Duration: 04+ months contract with strong possibility of extension Shift Timing: Mon- Fri: 8 AM- 5 PM PST (40 hrs/week) JOB ID- The examiner can work remotely, The adjuster...Contract workRemote workShift work
- Claims Examiner Community First Health Plans University Health
$53.6k - $80.4k
Associate Underwriter - UBTRAN We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join...Temporary workTraineeshipWork experience placementWork at officeRemote work- * Analyze the financial data presented, including the level and trend of pertinent ratios, including global debt service capacity * Identify exceptions to lending policies and underwriting guidelines. * Ensure compliance with all applicable laws and regulations * ...Work at office
$69.92k - $133.62k
...investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and... ..., and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance,...Hourly payH1bWork at officeLocal areaRemote workRelocationAfternoon shift3 days per week$84.8k - $127.2k
Consultant Claims - CH08CEWe’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages... ...of coverage and tort laws- Full command of issues and medicals relative to high value bodily injury claims- Ability to analyze...Full timeTemporary workPart timeWork at officeRemote work3 days per week- San Antonio, TXFinance - Claims and Credit /Full-time /RemoteWho We AreArrive Logistics is a leading transportation and technology company... ...advantage of our comprehensive benefits package, including medical, dental, vision, life, disability, and supplemental coverage....Full timeWork experience placementCasual work
- Executive Underwriter - UW07CD Senior Underwriter - UW08CA We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help...Temporary workFlexible hours
- ...partnerships. The best way to achieve that is by bringing together a team of skilled, passionate, and talented individuals. ~ Medical, Dental, and Vision coverage ~401(k) and company match ~ Generous paid time off (PTO), paid company holidays, paid maternity/paternity...Work at officeLocal area
- ...POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant...
- ...POSITION SUMMARY/RESPONSIBILITIES Acts as Claims Department resource to coordinate, analyze, and improve departmental performance. Identifies areas for improvement, documents business processes, researches best practices, compiles information and assists process owners...
- ...Casualty Claims Specialist At First Chicago Insurance Company, our employees are our... ...experience a MUST! ~ Knowledge of legal and medical terminology. ~ Excellent negotiation,... ...skills. ~ Ability to pass written examinations where required by state statutes to...Full timeWork at office
$50k - $55k
...Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage PRIMARY PURPOSE OF THE... ...comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life...Full timeContract workWork at officeLocal areaFlexible hours- ...Sedgwick, a leading risk and claims management company, seeks a Claims Representative, Auto, to analyze and process auto and general liability property damage claims. The role involves evaluating damage, processing payments, and ensuring accurate documentation while maintaining...Remote work
$62.4k - $93.6k
...Sr Representative Claims - CH08BE Sr Representative Clms CA - CH08AN Consultant Claims CA - CH08BN Consultant Claims - CH08... ...analytical and critical thinking skills; expert knowledge of complex medical terms, excellent time management abilities Possess the...Full timeTemporary workPart timeWork experience placementWork at officeRemote workMonday to Friday3 days per week- ...is designed to care for the whole you, offering a wide range of coverage and support. Eligible full-time teammates enjoy access to medical, dental, vision, life, disability, and AD&D insurance; tax-advantaged savings accounts; and a 401(k) plan with company match. CRC Group...Full timeTemporary workShift workDay shift
- ...Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement...
- A leading insurance firm in San Antonio is seeking a Production Underwriter to undergo an intensive 2.5-year training program that combines sales and underwriting. Candidates must be recent graduates, competitive, and goal-oriented, with strong problem-solving skills. The...
- ...ensures accurate financial analysis, pricing, and compliance for Medical, Dental, Vision, Life, and Disability programs, covering both... ...Audit work of other team members for accuracy and perform detailed claims, risk, and financial trend analyses. Efficiency Optimization:...Contract workFor contractors
$90k - $100k
...book of business while maintaining underwriting discipline. ● Mentor junior underwriters and provide guidance. ● Collaborate with claims and risk control teams to identify trends and improvements. ● Ensure compliance with underwriting policies, regulations, and...Full timeWork at officeLocal areaRelocation package$98.8k - $196.8k
A leading insurance company is seeking an experienced Underwriter for their Energy team. This role involves underwriting complex business, mentoring junior staff, and managing agency relationships. Successful candidates will have over 5 years of commercial underwriting ...Work at office- ...operations. Our team manages millions of dollars in insurance claims every month, and we’re growing. We’re looking for motivated, dependable... ...Qualifications High school diploma or equivalent Dental or medical office experience is a plus, but not required Customer service...Hourly payWork at officeFlexible hours
- Senior Claims Analyst Community First Health Plans University Health
$63.59k - $121.53k
...responsible to adjust attorney involved moderately complex bodily injury claims to include confirming coverage, determining liability,... ...-solving skills. ~ Proficient knowledge of human anatomy and medical terminology associated with bodily injury claims. ~ Ability...Full timeContract workH1bWork at officeRemote workHome officeRelocation package3 days per week
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