Claims Examiner, Sr. jobs in San Antonio, TX
Claims Examiner, Sr. reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner, Sr. 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, Sr. determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Examiner, Sr. jobs
- University Health System- San Antonio
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San Antonio, TX
FULL_TIME
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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. - 6 Days Ago
- UnitedHealth Group
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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...
- 2 Days Ago
- Consultis
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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...
- 12 Days Ago
- HealthTexas
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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...
- 18 Days Ago
- WebTPA Employer Services, LLC
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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...
- 27 Days Ago
- TheBest Claims Solutions
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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...
- 17 Days Ago
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0 Claims Examiner, Sr. jobs found in San Antonio, TX area
- Generis Tek Inc
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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
- Liberty Mutual Group
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San Antonio, TX
- You are here: / US,San Antonio-TX,Field Property Claims Adjuster **Field Property Claims Adjuster** **Field Property Cla...
- 4/23/2024 12:00:00 AM
- King's Insurance Staffing
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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
- USAA
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San Antonio, TX
- Why USAA? Lets do something that really matters. At USAA, we have an important mission: facilitating the financial secur...
- 4/22/2024 12:00:00 AM
- USAA
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San Antonio, TX
- Why USAA? Lets do something that really matters. At USAA, we have an important mission: facilitating the financial secur...
- 4/22/2024 12:00:00 AM
- USAA
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San Antonio, TX
- Why USAA? Lets do something that really matters. At USAA, we have an important mission: facilitating the financial secur...
- 4/22/2024 12:00:00 AM
- Sports Medicine Associates of San Antonio
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San Antonio, TX
- Orthopedic sports medicine physician practice looking for a highly motivated individual to join our team as a Certified ...
- 4/21/2024 12:00:00 AM
- Generis Tek Inc
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San Antonio, TX
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/20/2024 12:00:00 AM
About San Antonio, Texas
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