ZipRecruiter

Log In

1

Webtpa Jobs (NOW HIRING)

Guidewell

Claims Examiner I

San Antonio, TX · On-site

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:

Guidewell

Claims Examiner I

San Antonio, TX · On-site

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:

Guidewell

Claims Examiner I

San Antonio, TX

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:

Guidewell

Claims Examiner I

San Antonio, TX

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:

Guidewell

Claims Examiner I

San Antonio, TX · On-site

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:

next page

Showing results 1-20

People also search for

All JobsWebtpa Jobs

Webtpa information

What is the difference between Webtpa vs Web Developer?

AspectWebtpaWeb Developer
Required CredentialsTypically certifications in web technologies, project management, or specific platformsOften holds degrees or certifications in computer science, web development, or related fields
Work EnvironmentUsually works in insurance or financial services industries, focusing on online portals and client managementWorks across various industries, developing websites, applications, and online platforms
Employer & Industry UsagePrimarily employed by insurance companies, TPA firms, or financial institutionsEmployed by tech firms, agencies, or as freelancers across multiple sectors

Webtpa professionals specialize in managing online portals for insurance and financial services, focusing on client interactions and claims processing. Web Developers have a broader scope, creating websites and applications across diverse industries. While both roles require technical skills, Webtpa roles often emphasize industry-specific knowledge and certifications, whereas Web Developers focus on coding and design skills.

More about Webtpa jobs
What cities are hiring for Webtpa jobs? Cities with the most Webtpa job openings:
What states have the most Webtpa jobs? States with the most job openings for Webtpa jobs include:
Webtpa jobs near you
Infographic showing various Webtpa job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 90% Physical, and 10% Remote job distribution.
Claims Examiner I

Claims Examiner I

Guidewell

San Antonio, TX • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Job description

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: 6/22/2026 or 7/20/2026
  • 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