Claims Examiner I
GuideWellSan Antonio, Texas, United States
Posted April 22, 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 Claims Examiner I at WebTPA, you will handle processing and adjudication for healthcare claims, including claims research, processing insurance, and investigation. You will be responsible for meeting qualitative and quantitative production standards, and utilizing systems to track complaints and resolutions. This is a full-time in-office position with training provided.
Requirements
- 2+ years of 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-10 coding
- Knowledge of COBRA, HIPAA, pre-existing conditions, and coordination of benefits
Benefits
- Medical, dental, vision, life and global travel health insurance
- Income protection benefits: life insurance, Short- and long-term disability programs
- Flexible schedules after training + future WAH options!
- Leave programs to support personal circumstances
- Retirement Savings Plan includes employer contribution and employer match
- Paid time off, volunteer time off, and 11 holidays
- Additional voluntary benefits available and a comprehensive wellness program