Claims Examiner I
Florida BlueIrving, Texas, United States
Posted March 25, 2026
Full Time
About the Company
WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans.
Job Description
As a Claim Examiner, you will handle processing and adjudication for healthcare claims, including claims research, claim complexity, and insurance verification.
Requirements
- 2+ years related work experience
- Claims examiner/adjudication experience on a computerized claims payment system in the healthcare industry
- High school diploma or GED
- Knowledge of CPT and ICD-9 coding
- Knowledge of COBRA, HIPAA, pre-existing conditions, and coordination of benefits
- Proficiency in maintaining good rapport with physicians, healthcare facilities, clients and providers
- Concise written and verbal communication skills
Benefits
- Medical, dental, vision, life and global travel health insurance
- Income protection benefits
- Flexible schedules
- Leave programs
- Retirement Savings Plan
- Paid time off
- Volunteer time off
- 11 holidays
- Comprehensive wellness program