Medical Only Adjuster - Wallingford, CT

The Jonus Group • Meriden, CT

2d

About The Position

The Medical Only Insurance Claims Adjuster manages a caseload of medical-only claims from inception through resolution, ensuring timely and accurate processing. The role works with medical providers, policyholders, and other stakeholders to facilitate efficient claim resolution while maintaining a high level of customer service.

Requirements

• 1–3 years of experience as a Medical Only Claims Adjuster or in a related healthcare field.
• Knowledge of medical terminology, billing practices, and healthcare regulations.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Detail-oriented, with the ability to prioritize and manage multiple tasks effectively.

Responsibilities

• Manage a caseload of medical-only insurance claims from inception to resolution.
• Review medical records, bills, and other documentation to determine coverage and eligibility.
• Communicate with medical providers, policyholders, and other parties involved in the claims process to gather information and facilitate resolution.
• Provide timely updates and respond to inquiries regarding claim status and coverage.
• Evaluate medical bills and expenses to determine reimbursement amounts in accordance with policy coverage and guidelines.

Benefits

• Comprehensive health, dental, and vision insurance.
• 401(k) retirement savings plan with company match.
• Professional development opportunities.
• Employee wellness programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed