Your employees. Your healthcare. Your way.

Industry: Insurance
Company Size: 501-1,000 employees

WebTPA

Savvy Admin PROD

**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.

**What is your impact?**

The Account Manager is responsible for managing and directing the front-line relationship with clients including, but not limited to, key decision makers – HR leadership, distributors (brokers), and C-level partners, and internal staff delivering the total healthcare benefit solution. This includes managing the relationship, assuring superior service levels, overall retention of the business, and upsell WebTPA products, where appropriate.

**Key Position Details**

This is a Full time in office position located at 19100 Ridgewood Pkwy San Antonio, TX 78259

**What Will You Be Doing**

- Client Support: (35%)

- Respond to client inquiries within 24 hours, acknowledging and building expectations for resolution.

- Delivering on commitments

- Create and maintain a proactive communication strategy with clients, related distributors, business partners, and consultants adequate to identify and address problems and issues expeditiously.

- Build and maintain a strong understanding of product/service delivery systems and infrastructure adequate to identify and address problems and issues, including information requests, expeditiously.

- Client Management: (35%)

- Evaluate client needs and lead cross functional teams to design, plan, configure, and implement products and services on a timely basis

- Schedule and lead client/delivery team meetings; developing and communicating progress against client's plan management strategy; gathering required data, research, and supporting analysis, and handouts/documents to guide the discussion

- Build and maintain effective feedback infrastructure to gather critical intelligence on client satisfaction from all sources related to the client's total product/service delivery system, including brokers, consultants, vendors, partners, stop loss carriers, etc., to ensure maximum opportunity to retain the business and related revenues

- Build and maintain a strong business/working relationship with clients and distribution networks sufficient to maintain and increase revenues

- Identify other opportunities and referrals

- Work as a responsible team member supporting projects relating to problem resolution, research, implementations, enrollments, and renewals (10%)

- Develop and maintain familiarity with WebTPA reporting and analysis tools adequate to report plan performance metrics to brokers, consultants, and clients (5%)

- Ensure delivery of fully executed client contracts including but not limited to ASA, Plan document, Compliance, Network, PBM, BAA, etc (5%)

- Other duties in collaboration and close coordination with manager: (5%)

- Analyze and evaluate client's plan performance and seek out opportunities to upsell/cross sell WebTPA products and services, or revenue producing partner products and services, while improving the overall service experience to clients and their members

- Develop and maintain a thorough understanding of clients objectives for their plan; discuss key performance indicators, analyze issues, and recommend/model changes necessary to achieve those objectives

- Communicate and assure client compliance with federally and state mandated requirements

- Review and assess clients benefit plans broadly considering key factors - industry, locations, required product/service mix and compliance factors

**What You Must Have**

- 5+ years related work experience in the health insurance industry administration working directly with clients and distribution networks in a healthcare benefit related environment.

- High school diploma or GED

- Detailed knowledge of Healthcare Reform.

- Extensive experience and demonstrated proficiency in all MS Office applications including Word, Excel, Access and PowerPoint.

- Strong verbal and written communication skills. (Writing samples may be requested as proof.)

- Comfortable working and communicating across operational areas within the organization.

- Ability to appropriately handle confidential and sensitive information.

- Ability to present to clients and executives in a confident manner.

- Managing the message to the intended audience consistent with business objectives

- Superior client service attitude coupled with excessive energy and enthusiasm.

- Strong desire to succeed in conjunction with a highly developed work ethic.

- Extremely driven with the ability to self-manage.

- High attention to details; particularly those driving benefit plan performance

- Ability to work independently/autonomously and proactively as well as collaboratively as a member of a team.

- Ability to identify problems/issues and propose high-performing solutions.

- Ability to segment and prioritize workload based on time sensitivities and critical success factors

- General project management skills

**What We Prefer**

- Bachelor’s degree in Business or Communications

**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

- 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.

We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive and equitable culture for our employees and communities.

Account Manager - San Antonio, TX

**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

- Schedule Monday to Friday 8:00am - 4:30pm CST 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. ** ~~

Claims Examiner I

**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

- Training schedule Monday to Friday 8:00am - 4:30pm CST for 4 weeks

- Training class start date 6/22/2026

**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**

- 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-10 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. ** ~~

**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**

- Training Schedule: Monday to Friday 8:00am to 4:30pm Central Time

- Training Duration: 4 weeks

- Training Classes Starting: 6/22/2026

- Full Time position

**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**

- 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-10 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

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. ** ~~

**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 Date: 4/27/2026 and 5/25/2026

- 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. ** ~~

**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**

- Anticipated Training Class Start Date: 5/25/2026

- 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

- 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. ** ~~

**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**

- Anticipated Training Class Start Date: 5/25/2026

- 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. ** ~~

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