MEDICAL CLAIMS ADJUSTER
About The Position
As a Medical Claims Adjuster with Wilson-McShane Corporation, you will serve as a primary point of contact for participants and providers, handling a high volume of phone calls and responding to benefit and claims-related inquiries. This role requires the ability to balance and manage incoming calls while processing medical and short-term disability claims in a timely and accurate manner. You will have a direct impact on the participants and families of the plans we administer by providing exceptional customer service and ensuring claims are handled efficiently. This position offers the opportunity to support participants and providers both by phone and in person while navigating multiple priorities in a fast-paced environment.
Requirements
- Minimum of two years claims paying experience required.
- Ability to read and interpret documents such as Summary Plan Description and procedure manuals.
- Proficiency with Microsoft Office.
- Quick learner of other computer applications.
- Attention to detail to process claims.
- Providing excellent customer service.
- Assisting people with their claims process.
Responsibilities
- Serve as a primary point of contact for participants and providers.
- Handle a high volume of phone calls.
- Respond to benefit and claims-related inquiries.
- Balance and manage incoming calls.
- Process medical and short-term disability claims in a timely and accurate manner.
- Provide exceptional customer service.
- Ensure claims are handled efficiently.
- Support participants and providers both by phone and in person.
- Navigate multiple priorities in a fast-paced environment.
Benefits
- Low Deductible Health, Prescription Drug and Dental Benefits
- Voluntary Vision, Accident, Critical Illness and Pet Insurance
- Flexible Spending Account (FSA)
- Employer Contribution to 401(k) & Employee Stock Ownership Plan (ESOP)
- 401(k) and Roth 401(k)
- Paid Holidays and Paid time off
- Dependent Care Reimbursement Account
- Life Insurance and AD&D
- Employee Assistance Program, including access to confidential counseling (virtual and in-person)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
