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.
NewProperty Adjuster Specialist - Specialty Claims USAAProperty Adjuster Specialist - Specialty ClaimsSan Antonio, TexasProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. The ideal candidate will possess strong virtual estimating skills for complex Condo claims, determine liability, litigation, and reconcile estimates while working in a telephone concentrated environment without physical inspection of loss.
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.
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 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.
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.
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.
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.
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.
NewDirector of Claims HealthTexas Primary Care DoctorsDirector of ClaimsSan Antonio, TexasThe Director partners closely with the Claims Manager and VP of Finance to support audits, strengthen quality outcomes, create dashboard reporting, and contribute to the financial and operational success of HealthTexas while upholding our Mission, Vision, and Values. A key accountability of this role is the review of departmental reports to ensure accuracy and integrity of claims data, as well as collaborating with other departments to support accurate and timely reporting to health plans.
Claims Examiner Peyton Resource GroupClaims ExaminerSan Antonio, TXThis role is responsible for reviewing and adjudicating delegated claims, resolving inquiries, maintaining documentation, and supporting efficient claims workflows while delivering a high level of customer service. We are seeking a detail-oriented Claims Examiner & Support Specialist I to support healthcare claims operations through accurate claims processing, provider communication, and administrative support.
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionSan Marcos, TX$63,089.65–$90,000 / yearWith the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).
Guidewire Claim Center Consultant Syntricate Technologies IncGuidewire Claim Center ConsultantSan Antonio, TXRequired Skills: 8+ Year experience Associate 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. Associate need to attend scrum calls, offshore hand off calls and coordinate with offshore for delivery.
Guidewire Claim Center Developer TechDigitalGuidewire Claim Center DeveloperSan Antonio, TXTo ensure process compliance in the assigned module| and participate in technical discussions/review as a technical consultant for feasibility study (technical alternatives, best packages, supporting architecture best practices, technical risks, breakdown into components, estimations). • To collaborate with stakeholders to define project scope, objectives, deliverables and accordingly prepare and submit status reports for minimizing exposure & closure of escalations.