ZipRecruiter

Log In

1

Claims Edit Jobs (NOW HIRING)

Guidewell

Claims Examiner I

San Antonio, TX · On-site

... edit logic). * Incumbents are expected to meet and/or exceed qualitative and quantitative ... Facilitate claims investigation, negotiate settlements, interpret medical records, respond to ...

Guidewell

Claims Examiner I

San Antonio, TX

... edit logic). * Incumbents are expected to meet and/or exceed qualitative and quantitative ... Facilitate claims investigation, negotiate settlements, interpret medical records, respond to ...

Ovationhealthcare

Coder, Edit/Denials

$19.25 - $25.50/hr

Ovation Healthcare seeks an Edit & Denials Coder to review medical records to determine appropriate ... Creates appropriate letters to substantiate the validity of claims. * Meets with facility liaison ...

Ovation Healthcare

Coder, Edit/Denials

$19.25 - $25.50/hr

Ovation Healthcare seeks an Edit & Denials Coder to review medical records to determine appropriate ... Creates appropriate letters to substantiate the validity of claims. * Meets with facility liaison ...

Arkansas Blue Cross

Claims Specialist I

... edit and audit resolution; determining benefit eligibility; Identifying and researching processing issues through systems and manuals; routing claims to other areas; consulting internal staff and ...

USLI

Claims Administrative Assistant

Wayne, PA · On-site

$17 - $21.50/hr

Draft and edit documents, emails and letters with accuracy and professionalism * Coverage: Review and handle emails during absences from the office to ensure continuity * Deadline management: Track ...

Tristar Insurance Services LLC

Claims Assistant

Lake Oswego, OR · On-site

$19.50 - $24.75/hr

TRISTAR is seeking a detail-oriented and motivated Claims Assistant to join our Portland team. This ... X Ability to report, write, or edit articles for publication; prepare deeds, contracts or leases ...

New

Tristar Insurance

Claims Assistant

Lake Oswego, OR · On-site

$18 - $20/hr

TRISTAR is seeking a detail-oriented and motivated Claims Assistant to join our Portland team. This ... X Ability to report, write, or edit articles for publication; prepare deeds, contracts or leases ...

SIHO HOLDING INC

Claims Analyst

Columbus, IN · On-site

Resolve identified claims issues based on CCI edit repot to comply with CMS guidelines. * Represent the department when needed for internal and external company meetings * Complete special projects ...

SIHO HOLDING INC

Claims Analyst

Columbus, IN

Resolve identified claims issues based on CCI edit repot to comply with CMS guidelines. * Represent the department when needed for internal and external company meetings * Complete special projects ...

SIHO Insurance Services

Claims Analyst

Columbus, IN

Resolve identified claims issues based on CCI edit repot to comply with CMS guidelines. * Represent the department when needed for internal and external company meetings * Complete special projects ...

previous page

Showing results 41-60

All JobsFinance and Insurance JobsClaims Edit Jobs

Claims Edit information

See salary details

$13

$21

$28

How much do claims edit jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for claims edit in the United States is $21.05, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.

What is the difference between Claims Edit vs Claims Examiner?

AspectClaims EditClaims Examiner
CredentialsTypically requires insurance or claims processing certificationsRequires similar certifications, often with additional insurance licensing
Work EnvironmentPrimarily office-based, focusing on reviewing and editing claimsOffice-based, reviewing and approving insurance claims
Industry UsageCommon in insurance companies, third-party administratorsCommon in insurance carriers, government agencies
Search & Comparison IntentOften compared for claims processing rolesOften compared with Claims Edit for claims review positions

Claims Edit professionals focus on reviewing and correcting insurance claims for accuracy, while Claims Examiners evaluate and approve or deny claims based on policy coverage. Both roles require similar certifications and work environments, but Claims Examiners have a broader responsibility for decision-making in the claims process.

More about Claims Edit jobs

What cities are hiring for Claims Edit jobs?

Cities with the most Claims Edit job openings:

What states have the most Claims Edit jobs?

States with the most job openings for Claims Edit jobs include:

What job categories do people searching Claims Edit jobs look for?

The top searched job categories for Claims Edit jobs are:

Claims Edit jobs near you
Infographic showing various Claims Edit job openings in the United States as of August 2026, with employment types broken down into 67% Full Time, and 33% Temporary. Highlights an 100% In-person job distribution, with an average salary of $43,783 per year, or $21 per hour.

Claims Examiner I

Guidewell

San Antonio, TX • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 21 days ago

Job description


Get To Know Us!
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.
Key position details:
  • This is a Full time in office position: 19100 Ridgewood Pkwy San Antonio, TX 78259
  • Anticipated Training Class Start Dates: 9/14/2026
  • Schedule Monday to Friday 8:00am - 4:30pm Central Time for 4 weeks

What is your impact?
As a Claim Examiner, you will handle processing and adjudication for healthcare claims. This will include claims research where applicable and a range of claim complexity.
What Will You Be Doing:
The essential functions listed represent the major duties of this role, additional duties may be assigned.
  • Day-to-day processing of claims for accounts:
    • Responsible for processing of claims (medical, dental, vision, and mental health claims)
    • Claims processing and adjudication.
    • Claims research where applicable.
    • Reviews and processes insurance to verify medical necessities and coverage under policy guidelines (clinical edit logic).
    • Incumbents are expected to meet and/or exceed qualitative and quantitative production standards.
  • Investigation and overpayment administration:
    • Facilitate claims investigation, negotiate settlements, interpret medical records, respond to Department of Insurance complaints, and authorize payment to claimants and providers.
    • Overpayment reviews and recovery of claims overpayment; corrected financial histories of patients and service providers to ensure accurate records.
    • Utilize systems to track complaints and resolutions.
  • Other responsibilities include resolving claims appeals, researching benefits, verifying correct plan loading.

What You Must Have:
  • 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 required.
  • Knowledge of COBRA, HIPAA, pre-existing conditions, and coordination of benefits required.
  • Must possess proven judgment, decision-making skills and the ability to analyze.
  • Ability to learn quickly and multitask.
  • Proficiency in maintaining good rapport with physicians, healthcare facilities, clients and providers.
  • Concise written and verbal communication skills required, including the ability to handle conflict.
  • Proficiency using Microsoft Windows and Word, Excel and customized programs for medical CPT coding.
  • Review of multiple surgical procedures and establishment of reasonable and customary fees.

What We Prefer:
  • Some college courses in related fields are a plus.
  • Other experience in processing all types of medical claims helpful.
  • Data entry and 10-key by touch/sight

What We Can Offer YOU!
To support your wellbeing, comprehensive benefits are offered. As a WebTPA employee, you will have access to:
  • 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

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for interns and part-time employees may differ.
General Physical Demands: Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.
We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.

Apply