Claims Examiner I - San Antonio, TX

The Claims Examiner will handle processing and adjudication for healthcare claims. This includes claims research where applicable and a range of claim complexity. · Day-to-day processing of claims for accounts: Responsible for processing of claims (medical, dental, vision, and me ...

As a Claim Examiner at WebTPA, you will handle processing and adjudication for healthcare claims. · Process and adjudicate medical claims. · Conduct research where applicable. · Negotiate settlements with claimants and providers. · ...

We are a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. · This is a Full time in office position: · Processing and adjudication for healthcare claims including claims research where ap ...

We are seeking a Claims Examiner I to handle processing and adjudication of healthcare claims. · Process medical, dental, vision, and mental health claims. · Review insurance to verify medical necessities and coverage under policy guidelines (clinical edit logic). · Facilitate cl ...

The Claim Examiner will handle processing and adjudication for healthcare claims, including claims research and a range of claim complexity. · ...

As a Claim Examiner, you will handle processing and adjudication for healthcare claims. · ...

As a Claim Examiner, you will handle processing and adjudication for healthcare claims. · ...

We are seeking a Claims Examiner to handle processing and adjudication for healthcare claims, including claims research and a range of claim complexity. · ...

As a Claim Examiner, you will handle processing and adjudication for healthcare claims. · ...

We are looking for an experienced Claims Examiner for our Claims department with Community First Health Plans. · ...

Athens Administrators has an immediate need for a full-time Senior Claims Examiner to support our workers compensation department. · The Senior Claims Examiner will adjust workers' compensation claims from inception through settlement and closure, · ensuring timely processing of ...

Athens Administrators has an immediate need for a full-time Claims Examiner II to support their Property & Casualty department. · The role involves reviewing moderate to severe commercial auto claims with opportunities to handle Commercial Property Inland Marine General Liability ...

We have an immediate need for a full-time Claims Examiner II to support our Property & Casualty department. · This role involves investigating, evaluating, and determining settlement value or denial of liability for moderate to severe level commercial auto claims. ...

El Claims Examiner I trabaja bajo supervisión cercana y maneja todos los aspectos de las reclamaciones médicas desde su inicio hasta su conclusión dentro de las autoridades establecidas y directrices. · ...

Analyze complex problems pertaining to claim payments and eligibility. · Act as consultant to claims staff in complex claim issue resolution. · Work cooperatively with Configuration in testing of contracts used in business operations and reporting. · ...

Analyze complex problems pertaining to claim payments and issues that are beyond the scope of claim examiners. · Act as consultant to claims staff in complex claim issue resolution. · Work cooperatively with Configuration in testing of contracts used in business operations and re ...

analyze complex problems pertaining to claim payments eligibility other insurance transplants system issues beyond scope of claim examiners senior claim examiners affecting claims payment act consultant to claims staff in complex claim issue resolution perform in accordance with ...

Analyze complex problems pertaining to claim payments and work cooperatively with Configuration in testing of contracts used in business operations. · ...

Our client seeks a Claims Specialist to resolve complex claim issues. · ...

Job summaryOur client seeks a Claims Specialist to resolve complex claim issues and ensure accurate payment processes. · Analyze and resolve challenging claim matters related to payments, eligibility, insurance coordination, · Serve as a consultant to claims staff, · ...