Claims Examiner jobs in San Antonio, TX

Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Claims Examiner
  • University Health System- San Antonio
  • San Antonio, TX FULL_TIME
  • 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 the Department.

    EDUCATION/EXPERIENCE
    High school diploma or GED equivalent is required. Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, CPT 4 coding and medical terminology is required.

  • 8 Days Ago

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Senior Claims Examiner - Remote
  • UnitedHealth Group
  • San Antonio, TX FULL_TIME
  • Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for help...
  • 4 Days Ago

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Medical Claims Examiner
  • Consultis
  • San Antonio, TX FULL_TIME
  • Consultis, a premier Technical and Professional Recruiting Firm with the single focus of pairing the right candidate with the right employment opportunity is currently searching for a Medical Claims M...
  • 14 Days Ago

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Medical Claims Examiner & Support Specialist
  • HealthTexas
  • San Antonio, TX FULL_TIME
  • Job Summary: Our claims operations are the focal point of handling information about services patients receive and the way those services get paid. It's complex, detailed work. It's a fast-paced chall...
  • 20 Days Ago

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Claims Examiner - San Antonio, Texas
  • WebTPA Employer Services, LLC
  • San Antonio, TX FULL_TIME
  • GetToKnow Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30 years of experience building unique benefit solutions and managing customized health plans. What is yo...
  • 29 Days Ago

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Workers Compensation Claims Adjuster
  • TheBest Claims Solutions
  • San Antonio, TX OTHER
  • Workers Compensation Claims Adjuster SAN ANTONIO, TX 78201 | DIRECT HIRE $75,000 TO $83,000 ANNUALLY, DEPENDING ON EXPERIENCE Job Description Our client, a leading insurance company, is currently seek...
  • 19 Days Ago

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0 Claims Examiner jobs found in San Antonio, TX area

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Claims Examiner -Remote
  • Generis Tek Inc
  • San Antonio, TX
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/25/2024 12:00:00 AM

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INSURANCE AGENT - REMOTE
  • The Slaton Agency
  • San Antonio, TX
  • Are you looking to take your career in a new direction or are you already a licensed insurance agent? At The Slaton Agen...
  • 4/25/2024 12:00:00 AM

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Remote Insurance Agent
  • Primerica
  • Boerne, TX
  • NO PREVIOUS EXPERIENCE NECESSARY. WE WILL TRAIN THE RIGHT PERSON. This position can be fully remote. Great for the stay-...
  • 4/25/2024 12:00:00 AM

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Insurance Agent
  • New York Life Insurance Company
  • Career Description: *** Must live in San Antonio, Texas, USA or within 100 miles from San Antonio, Texas, USA.*** Finan...
  • 4/24/2024 12:00:00 AM

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Insurance Agent
  • Customer Focus Insurance Inc.
  • San Antonio, TX
  • Job Description Job Description We are seeking an Insurance Agent to join our team! You will be responsible for expandin...
  • 4/24/2024 12:00:00 AM

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Claims Examiner –Remote
  • Generis Tek Inc
  • San Antonio, TX
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/23/2024 12:00:00 AM

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Senior Auto Claims Examiner | Remote
  • King's Insurance Staffing
  • San Antonio, TX
  • Our client has been experiencing continued growth and seeking to add a Senior Auto Liability/Bodily Injury Claims Examin...
  • 4/22/2024 12:00:00 AM

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Remote Insurance Agent
  • Dorr Agency
  • San Antonio, TX
  • Looking for your last career stop? Interested in an industry change? Seeking work-life balance? The Dorr Agency is seeki...
  • 4/22/2024 12:00:00 AM

San Antonio (/ˌsæn ænˈtoʊnioʊ/; from Spanish, "Saint Anthony"), officially the City of San Antonio, is the seventh-most populous city in the United States, and the second-most populous city in both Texas and the Southern United States, with more than 1.5 million residents. Founded as a Spanish mission and colonial outpost in 1718, the city became the first chartered civil settlement in present-day Texas in 1731. The area was still part of the Spanish Empire, and later of the Mexican Republic. Today it is the state's oldest municipality. The city's deep history is contrasted with its rapid rec...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$45,279 to $60,042
San Antonio, Texas area prices
were up 1.2% from a year ago