Current jobs related to (Agile) Claims Examiner - San Antonio - Sedgwick Claims Management Services

  • Claims Examiner

    4 weeks ago


    San Antonio, Texas, United States Sedgwick Full time

    About SedgwickSedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and...

  • Claims Examiner

    4 days ago


    San Antonio, Texas, United States Sedgwick Full time

    About the Role:Sedgwick is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing and processing General Liability claims to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.Key...

  • Claims Examiner

    3 days ago


    San Antonio, Texas, United States Sedgwick Full time

    About the Role:Sedgwick is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing and processing low-mid level General Liability claims on behalf of our valued clients. Your primary goal will be to determine benefits due while ensuring ongoing adjudication of claims within service expectations,...


  • San Antonio, Texas, United States Optum Full time

    Optum Job DescriptionAt Optum, we deliver care and technology to help millions of people live healthier lives. We're seeking a Senior Claims Examiner to join our team in reviewing, analyzing, and researching complex health care claims. As a Senior Claims Examiner, you will be responsible for identifying discrepancies, verifying pricing, confirming prior...


  • San Antonio, Texas, United States University Health Full time

    Job SummaryAt University Health, we are seeking a skilled Medical Claims Examiner to join our team. As a Medical Claims Examiner, you will be responsible for the adjudication of medical claims for Medicaid, Commercial, and CHIP according to departmental and regulatory requirements. Your expertise in claim processing and billing will ensure that our patients...


  • San Antonio, Texas, United States University Health Full time

    Job SummaryAt University Health, we are seeking a skilled Medical Claims Examiner to join our team. As a Medical Claims Examiner, you will be responsible for the adjudication of medical claims for Medicaid, Commercial, and CHIP according to departmental and regulatory requirements.ResponsibilitiesPerform adjudication of medical claims for Medicaid,...


  • San Antonio, Texas, United States Optum Full time

    Job SummaryOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and...


  • San Antonio, Texas, United States TRIAD Full time

    Job Title: Medical Claims ExaminerJob Summary:TRIAD is seeking a highly skilled Medical Claims Examiner to join our team. As a Medical Claims Examiner, you will be responsible for accurately processing health plan delegated claims, addressing provider inquiries, and handling various administrative tasks within the department.Key Responsibilities:Process...


  • San Antonio, Texas, United States University Health System- San Antonio Full time

    Job SummaryWe are seeking a highly skilled Insurance Claims Examiner to join our team at University Health System- San Antonio. As an Insurance Claims Examiner, you will be responsible for reviewing accounts to ensure accurate reimbursement and identifying payor issues affecting payment delays.Key ResponsibilitiesReview accounts to ensure accurate...


  • San Antonio, Texas, United States USAA Full time

    About the RoleUSAA is seeking a highly skilled Injury Examiner to join our team. As a dedicated professional, you will be responsible for adjusting complex bodily injury claims and UIM claims, ensuring timely and accurate resolution of claims in compliance with state laws and regulations.Key ResponsibilitiesAdjusts complex bodily injury claims with...

  • Claims Examiner

    3 days ago


    San Diego, California, United States TPS Group LLC Full time

    Claims Analyst OpportunityTPS Group LLC is seeking a skilled Claims Analyst to support their public utilities and energy client. The ideal candidate will have experience in claims investigation, liability analysis, and case management.Key Responsibilities:Investigate and analyze recovery/subrogation and/or liability and property damage claims.Adjust and...

  • Examiner Claims

    5 days ago


    San Antonio, United States University Health 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 A high school diploma or GED equivalent is...


  • San Jose, California, United States CCMS & Associates Full time

    Job SummaryWe are seeking a highly skilled Field Claims Examiner to join our team at CCMS & Associates. As a Field Claims Examiner, you will be responsible for investigating claims, inspecting damages, and recommending claim reserves based on thorough investigations.Key Responsibilities:Conduct thorough investigations of claims, including inspecting damages...


  • San Antonio, United States Optum Full time

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

  • Examiner Claims

    4 days ago


    San Antonio, TX, United States University Health 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 A high school diploma or GED equivalent is...

  • Claims Examiner II

    4 months ago


    San Antonio, United States 052 SLIC Insurance Agency, LLC Full time

    SWBC is seeking a talented individual to review and evaluate incoming claims for payment or denial and acts as a liaison for the carrier and the financial institution. This role allows you to help those who are dealing with difficult circumstances in their lives. Your help gives them a sense of relief in times of need. You will also have a team who is...


  • San Diego, California, United States Progressive Insurance Full time

    Job SummaryWe are seeking a skilled Insurance Claims Examiner to join our team at Progressive Insurance. As a Claims Adjuster, you will be responsible for managing claims, including the injury portion, and ensuring a swift resolution.Key ResponsibilitiesMaking coverage decisions that determine the extent of Progressive's liabilityGathering details through...


  • San Antonio, TX, United States Optum Full time

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...


  • San Antonio, TX, United States Optum Full time

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...


  • San Antonio, Texas, United States Argo Group Full time

    Claims Adjudicator for Argo GroupWe're seeking a highly skilled Workers' Compensation Claims Adjudicator to join our team at Argo Group. As a Claims Adjudicator, you will be responsible for adjudicating indemnity workers' compensation claims of higher technical complexity for our customers in the states of AR, LA, MA, and TX.Key Responsibilities:Adjudicate...

(Agile) Claims Examiner

2 months ago


San Antonio, United States Sedgwick Claims Management Services Full time

To analyze high-level commercial general liability / bodily injury claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific clie General Liability, Claims, Examiner, Liability, Insurance