Claims Adjuster

1 week ago


San Antonio, Texas, United States Sedgwick Full time

Join Our Team as a Claims Adjuster


At Sedgwick, we prioritize the well-being of our colleagues, fostering a culture of support and care. A career with us means flexibility and the opportunity to focus on what truly matters in your life. It’s a chance to engage in meaningful work every day, backed by a commitment to your mental, physical, financial, and professional growth.


As a Claims Adjuster, you will be part of a dynamic environment where your contributions can make a significant impact. We are dedicated to creating a workplace that values diversity and inclusivity, ensuring everyone feels welcome and valued.


Why Choose Sedgwick?

  • Recognized as a Great Place to Work
  • Named Most Loved Workplace
  • Featured as a Forbes Best-in-State Employer


Role Overview:

In this position, you will assess and manage Workers Compensation claims for our esteemed clients, ensuring that benefits are accurately determined while adhering to service expectations and industry standards.


Key Responsibilities:

  • Evaluate and process claims through well-structured action plans, ensuring timely resolutions by investigating and gathering necessary information.
  • Negotiate settlements within your designated authority.
  • Maintain clear communication regarding claim activities with both claimants and clients.
  • Report claims to the appropriate excess carrier and respond to inquiries professionally and promptly.


Qualifications:

To be successful in this role, you should possess:

  • A minimum of 3 years of claims management experience or an equivalent combination of education and experience.
  • A High School Diploma or GED; a Bachelor's degree is preferred.
  • Professional certification relevant to the line of business is a plus.
  • Bilingual skills (Spanish) are advantageous.
  • An active TX adjusters license is required; experience with Public Entities is beneficial.


Benefits of Working with Us:

  • Flexible work schedules
  • Referral incentive programs
  • Opportunities for career development and advancement
  • A comprehensive benefits package, including medical, dental, vision, and 401K from day one


At Sedgwick, we believe in the power of caring. If you are driven to make a difference and thrive in a collaborative environment, we invite you to explore a career with us.



  • San Antonio, Texas, United States Elevate Claims Solutions Full time

    About Elevate Claims SolutionsWe are a leading provider of claims solutions, founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our partners, clients, and ourselves.Job DescriptionWe are seeking a highly skilled and experienced Property Claims Adjuster to join our team in San Antonio, Texas....


  • San Antonio, Texas, United States Elevate Claims Solutions Full time

    About Elevate Claims SolutionsWe are a company founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves.Our MissionWe are committed to receiving feedback on how we can best support your progression and advancement towards your goals.What We...


  • San Antonio, Texas, United States Allstate Full time

    About the RoleWe are seeking a highly skilled and experienced Property Claims Adjuster to join our team at Allstate. As a key member of our claims department, you will be responsible for investigating and resolving property claims in a fair and efficient manner.Key ResponsibilitiesInvestigate and Assess Claims: Conduct thorough investigations of property...


  • San Antonio, Texas, United States Fred Loya Insurance Full time

    Job OverviewPosition: Insurance Claims AdjusterLocation: San Antonio, TXJob ID: JOB DESCRIPTIONRole SummaryThe Insurance Claims Adjuster is responsible for evaluating and managing claims to ensure fair and timely resolution. This role involves assessing coverage, determining liability, and providing exceptional service to all parties involved in the claims...


  • San Antonio, Texas, United States USAA Full time

    About the RoleAs a Senior Injury Claims Adjuster at USAA, you will play a critical role in ensuring the financial security of our members who have been involved in accidents. Your expertise in adjusting complex claims will be essential in delivering a concierge-level of service to our members.Key ResponsibilitiesAdjust attorney-involved moderately complex...


  • San Antonio, Texas, United States Fred Loya Insurance Full time

    Job Title: Claims Adjuster SpecialistCompany: Fred Loya InsuranceThe Claims Adjuster Specialist position focuses on managing cases represented by legal counsel, assessing, and negotiating settlements with attorneys in a professional manner. Additionally, unrepresented claimants will be addressed as necessary.Benefits:Incentive payComprehensive training...


  • San Antonio, Texas, United States Syntricate Technologies Full time

    Job DescriptionAt Syntricate Technologies, we are seeking a highly skilled and experienced Special Investigations Unit Professional to join our team. As a key member of our organization, you will be responsible for conducting thorough investigations and analyzing complex data to identify potential risks and opportunities.Key Responsibilities:Investigations...


  • San Antonio, Texas, United States USAA Full time

    About the RoleAs a Senior Claims Adjuster, you will play a critical role in ensuring the financial security of USAA's members by effectively managing and resolving bodily injury and UM claims. This position requires a high level of expertise in claims handling, negotiation, and settlement, as well as excellent communication and interpersonal skills.Key...


  • San Antonio, Texas, United States Fred Loya Insurance Full time

    Job OverviewBodily Injury Claims AdjusterFred Loya Insurance is seeking a dedicated professional to fill the role of a Bodily Injury Claims Adjuster. This position involves assessing and managing claims related to bodily injuries, ensuring that clients receive the appropriate coverage and support.KEY BENEFITS:Performance bonusesComprehensive training...


  • San Antonio, Texas, United States SWBC Real Estate, LLC Full time

    Job SummarySWBC Real Estate, LLC is seeking a skilled Claims Adjuster to investigate, evaluate, and negotiate auto claims, CPI and GAP, to determine the extent of liability by interpreting and calculating settlement. The ideal candidate will have a strong analytical mind, excellent communication skills, and the ability to work independently.Key...


  • San Antonio, Texas, United States Argonaut Management Services, Inc Full time

    Job SummaryArgo Group is seeking a highly skilled Medical Claims Adjuster to join our team. As a Medical Claims Adjuster, you will be responsible for determining whether coverage exists for medical claims, denying claims that are ineligible for benefits, and thoroughly investigating claims by interviewing injured workers, employers, and medical providers.Key...


  • San Antonio, Texas, United States Argonaut Management Services, Inc Full time

    Job SummaryArgo Group is seeking a highly skilled Medical Claims Adjuster to join our team. As a Medical Claims Adjuster, you will be responsible for determining whether coverage exists for insureds, denying claims ineligible for benefits, and thoroughly investigating claims by interviewing injured workers, employers, and medical providers.Key...


  • San Antonio, Texas, United States USAA Full time

    About the RoleAs a dedicated injury claims examiner at USAA, you will play a critical role in ensuring the financial security of our members by adjusting complex bodily injury claims and UIM claims. Your expertise will be essential in confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in...

  • Claims Examiner

    5 days ago


    San Antonio, Texas, United States SWBC Real Estate, LLC Full time

    Job SummarySWBC Real Estate, LLC is seeking a skilled Claims Adjuster to investigate, evaluate, and negotiate auto claims, CPI and GAP, to determine the extent of liability by interpreting and calculating settlement. Responsible for issuing settlement payments to the Named Insured.Key ResponsibilitiesGathers and assembles pertinent claim information by...


  • San Antonio, Texas, United States USAA Full time

    About the RoleUSAA is seeking a highly skilled Claims Service Representative to join our team. As a Claims Service Representative, you will be responsible for providing exceptional customer service to our members regarding claims service.Key ResponsibilitiesDocument First Notice of Loss: Obtain relevant information for effective claim investigation and set...


  • San Antonio, Texas, United States South Texas Radiology Group Full time

    Position Title: Claims Recovery Analyst Department: Credit Balance Management Location: San Antonio, Texas (on-site) Reports To: Senior Manager, Patient Account Services FLSA Status: Non-exempt Position Overview:The Claims Recovery Analyst is tasked with overseeing the management of overpayment inquiries and the recoupment process within the Radiology...


  • San Antonio, Texas, United States The Hartford Full time

    Job SummaryWe are seeking a highly skilled and experienced Senior Claims Representative to join our team at The Hartford. As a key member of our claims department, you will be responsible for investigating and managing Workers' Compensation claims to ensure fair and timely resolutions for our customers.Key ResponsibilitiesInvestigate and manage complex...


  • San Antonio, Texas, United States The Hartford Full time

    Job SummaryWe are seeking a highly skilled Senior Claims Representative to join our team at The Hartford. As a key member of our claims department, you will be responsible for investigating and managing Workers' Compensation claims to ensure fair and timely resolutions for our customers.Key ResponsibilitiesInvestigate and manage complex Workers' Compensation...

  • Lead Claims Analyst

    1 week ago


    San Antonio, Texas, United States Optum Full time

    Job OverviewOptum is dedicated to transforming healthcare delivery for seniors, emphasizing a physician-led approach that prioritizes patient care. Our focus is on fostering health and wellness among our patients through comprehensive care management.The Senior Claims Examiner plays a crucial role in supporting our operations by meticulously reviewing,...

  • Lead Claims Analyst

    1 week ago


    San Antonio, Texas, United States Optum Full time

    Job OverviewOptum is dedicated to transforming healthcare delivery for seniors through innovative care models. Our focus is on enhancing the health and well-being of our patients by providing comprehensive support and services tailored to their needs.The Senior Claims Examiner plays a crucial role in our operations by delivering essential claims support....