MEDICAL CLAIMS ADJUSTER

Wilson-McShane Corp•Duluth, MN

About The Position

As a Medical Claims Adjuster with Wilson-McShane Corporation, you will be a primary point of contact for participants and providers, handling a high volume of phone calls and responding to benefit- and claims-related inquiries. You will balance incoming calls with processing medical and short-term disability claims in a timely and accurate manner. The role supports participants and providers by phone and in person, while managing multiple priorities in a fast-paced environment. The schedule is 8:00 a.m.–5:00 p.m., Monday through Friday, with a one-hour lunch. This is a non-exempt position paying $26.85 per hour.

Requirements

  • At least two years of claims-paying experience.
  • Ability to read and interpret documents such as Summary Plan Descriptions and procedure manuals.
  • Proficiency with Microsoft Office.
  • Ability to learn other computer applications quickly.
  • Attention to detail and excellent customer service skills.

Responsibilities

  • Handle a high volume of phone calls and respond to benefit- and claims-related inquiries from participants and providers.
  • Balance and manage incoming calls while processing medical and short-term disability claims in a timely and accurate manner.
  • Provide customer service and support to participants and providers by phone and in person.
  • Ensure claims are handled efficiently.

Benefits

  • Low-deductible health, prescription drug, and dental benefits.
  • Voluntary vision, accident, critical illness, and pet insurance.
  • 401(k) and Roth 401(k).
  • Paid holidays and paid time off.
  • Employee Assistance Program, including access to confidential counseling virtually and in person.
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