Claims Litigation Manager- Section II USAAClaims Litigation Manager- Section IISan Antonio, Virginia$85,040–$162,550 / yearAs a dedicated Claims Litigation Manager- Section II , this individual contributor role will be responsible for managing moderately complex litigation arising out of the property contract in compliance with state laws and regulations, to include creating strategy for defense or settlement, evaluating, negotiating, and collaborating with defense counsel to secure appropriate resolution. Follows practices and processes to achieve results to positively impact the quality, timeliness and effectiveness of the team; proactively identifies opportunities to improve processes.
Dental Claims Processor DY MANAGEMENT CONSULTANTS LLCDental Claims ProcessorSan Antonio, TXFull timeAs a Dental Claims Processor, you'll work alongside experienced professionals while learning every aspect of dental insurance billing, including: Process and follow up on dental insurance claims. We provide comprehensive, hands-on training that gives you the skills needed to become an expert in dental insurance claims and revenue cycle management.
Claims Specialist Cal-Tex Protective Coatings IncClaims SpecialistSan Antonio, TXPart timeResponsible for the claim adjudication process that includes the interpretation of warranty and service contracts, rendering coverage decisions, managing claim resolutions/issues, and ensuring work and payments are completed successfully. Make determination on transfer/renewal requests, communicate with customers on needed documents, audit documents for the request, and make final approval/denial decisions.
Claims Process Analyst Peyton Resource GroupClaims Process AnalystSan Antonio, TXYou will play a critical role in analyzing claims that require deeper investigation, identifying root causes of payment issues, and recommending process improvements to prevent future errors. Our client is seeking a detail-oriented Claims Process Analyst to join their Claims Payments team, supporting Property & Casualty (P&C) claims operations.
Property & Casualty Insurance Claims Operations Consultant, Manager PwCProperty & Casualty Insurance Claims Operations Consultant, ManagerSan Antonio, TX$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
Claims Examiner I - Commercial Auto Athens AdministratorsClaims Examiner I - Commercial AutoSan Antonio, TexasAdditional duties may be assigned: Knowledge in the following areas: 1) claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge, 2) functional knowledge of law and insurance regulations in various jurisdictions, 3) demonstrated advanced verbal and written communications skills, 4) demonstrated analytical, decision making and negotiation skills. Athens Position Details Position Title: Claims Examiner I – Commercial Auto Department: Property & Casualty Reports To: Claims Supervisor FLSA Status: Exempt in all state except California Job Grade: 9 Career Ladder: Next step in progression could include Claims Examiner II ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976.
Billing & Claims Specialist - Bilingual (Spanish) SafeRide HealthBilling & Claims Specialist - Bilingual (Spanish)San Antonio, TXReceive incoming calls from providers, customers, vendors, and internal groups, to successfully analyze the caller's needs, research information, answer questions, and resolved issues and/or disputes in a timely and accurate manner. Communicate and work with providers to get claims issues resolved and paid accurately and in accordance with healthcare/Medicare/Medicaid regulations, policies, and payment policies and guidelines.
NewMedical Billing and Claims Specialist PEDIATRIC CARDIOLOGY CONSULTANTS OF SOUTH TEXASMedical Billing and Claims SpecialistLIVE OAK, TXFull timeGeneral Administrative Duties: Answer incoming phone calls, manage emails, and respond to patient inquiries regarding appointments, billing, or general clinic information. The ideal candidate will provide excellent customer service, manage patient check-in/check-out, prior authorizations and handle billing tasks.
Senior Data Product Owner - Insurance Pricing and Claims USAASenior Data Product Owner - Insurance Pricing and ClaimsSan Antonio, TexasWorking as an integral member of a SAFe Agile Release Train (ART), you will leverage Jira and Clarity to create and manage product features, partner with Agile teams to decompose features into user stories, define acceptance criteria, and maintain a prioritized product backlog. Participate in a cross-functional team of user experience partners, designers, business analysts, developers, testers and others to develop, execute and release in alignment with program and/or product road maps.
Claims Analyst Arrive LogisticsClaims AnalystSan Antonio, TXYou will leverage advanced industry knowledge and business acumen to optimize claims operations, ensure financial integrity, and mentor junior team members, acting as a key cross-functional leader to protect the company's interests and drive strategic outcomes. This includes skillfully negotiating settlements, precisely processing all related financial transactions, and analyzing claims trends to identify recurring issues and significant financial exposure, with actionable findings presented to leadership.
Claims Examiner - Non-Subscriber | Jurisdiction: TX | Licensing: TX - Hybrid Sedgwick Claims Management Services, Inc.Claims Examiner - Non-Subscriber | Jurisdiction: TX | Licensing: TX - HybridSan Antonio, TXMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze non subrogation 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 client service requirements.
Claims Specialist BeltmannClaims SpecialistSan Antonio, TexasPrevious claims, moving & storage, transportation, logistics, or related experience is preferred but not required. Communicate claim decisions professionally with customers, drivers, agents, vendors, and internal teams.
NewClaims Analyst University HealthClaims AnalystSan Antonio, TXAnalyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Work cooperatively with Configuration in testing of contracts used in business operations and reporting to assure auto adjudication.
NewDigital Technical Product Manager Lead - Digital Claims USAADigital Technical Product Manager Lead - Digital ClaimsSan Antonio, Virginia8 years Digital/Technology Product Management experience, to include Digital/Technology experience in Strategy/Planning, Innovation, User Experience, Process Engineering, Analytics, and/or Research/Testing; OR an Advanced degree and 6 years of Digital/Technology Product Management experience, to include Digital/Technology experience in Strategy/Planning, Innovation, User Experience, Process Engineering, Analytics, and/or Research/Testing. You will develop the product strategy, vision, and goals and justify decision-making related to the balance and mix of innovation types and investments for Digital and Technology products of complex and significant scope (portfolio level or enterprise reach) and ensure strategic alignment across the product and its stakeholders, suppliers, and customers.
Claims Billing Specialist CARS Protection Plus IncClaims Billing SpecialistSan Antonio, TX$20–$22 / hourPart timeExcellent Client / Customer Service: Must be able to ensure all customer, repair facility and/or selling dealer related payment issues are handled in a fast, fair and courteous manner and know when to escalate an issue to your manager. Education and/or Experience: Must have at a minimum a high school diploma with 1-2 years previous work experience within a vehicle repair facility/dealership or an auto parts store.
Claims Examiner & Support Specialist Level I HealthTexas Primary Care DoctorsClaims Examiner & Support Specialist Level ISan Antonio, TexasThe Claims Examiner & Support Specialist Level I is responsible for accurately processing health plan delegated claims, addressing provider inquiries via phone calls, and handling various administrative tasks within the department. Additionally, maintaining a customer-centric approach when dealing with inquiries and issues is essential to ensure a positive experience for providers and stakeholders.
Guidewire claims center Syntricate Technologies IncGuidewire claims centerSan Antonio, TXAssociate should be able to work on Guidewire claims center integration, should be able to write programs in GOSU programming language and should work on integrating different vendor points with Claims center. If you do not want to receive any further emails or updates, please reply and request to %20unsubscribe@syntricatetechnologies.com?subject=Unsubscribe%20Me.
Business Process Owner I – Life Claims Experience USAABusiness Process Owner I – Life Claims ExperienceSan Antonio, TexasProcess Management & Issue Resolution: Minimum of 3 years of experience in business process analysis, design, or ownership, with a demonstrated ability in issue management and documentation using tools such as ServiceNow (SNOW) or similar issue tracking systems. Develops, sustains, and manages defined business processes through a structured approach as functional expert bringing diverse perspective to leverage multiple ways of thinking while developing end-user focused process solutions.
Senior Decision Science Analyst - P&C Claims GenAI USAASenior Decision Science Analyst - P&C Claims GenAISan Antonio, Virginia$114,080–$218,030 / year6 years of data & analytics experience OR a minimum of 4 years of data & analytics experience and up to 2 years of progressive functional business relevant experience within the respective industry of responsibility (i.e. P&C, Bank, Finance, Marketing etc.) for a total of 6 years combined experience OR advanced degree in quantitative analytics field such as Economics, Finance, Statistics, Mathematics, Actuarial Sciences, Operations Research, Data and/or Business Analysis, Data Science or other quantitative discipline and 4 years of experience in data/analytics or functional business experience within the respective industry of responsibility (i.e. P&C, Bank, Finance, Marketing, etc.). Finally, the candidate must possess strong Business Translation & Decision Intelligence capabilities, enabling them to translate complex business problems into AI-driven decision strategies, define key success metrics, and integrate GenAI seamlessly into operational workflows.
Lead Decision Science Analyst - P&C Claims GenAI USAALead Decision Science Analyst - P&C Claims GenAISan Antonio, Virginia$143,320–$273,930 / yearFinally, the candidate must possess strong Business Translation & Decision Intelligence capabilities, enabling them to translate complex business problems into AI-driven decision strategies, define key success metrics, and integrate GenAI seamlessly into operational workflows. Researches and pursues the latest and/or industry leading practices in data and analytics, (Ex: Cloud, Data Mining, Python, Neural Networks, Sensor data, IoT, Streaming/NRT data) to advance the overall DSA community knowledge.