Claims Customer Service Representative

ManpowerGroup; Roseland (NJ); On-site; USD 28,000 - 32,000; Full time

Benefits offered by this job

Training provided

Career growth opportunities

Stable employment with regular hours

Diversity and inclusion

Job summary

ManpowerGroup is seeking a Claims Customer Service Representative in Roseland, NJ to support a leading healthcare benefits organization. You will handle claims inquiries, process claims, and communicate outcomes to members and providers in a professional, detail-oriented manner.

The role requires strong communication, healthcare terminology knowledge, and experience with claims processing systems. Training will be provided, with stable hours in a Monday–Friday schedule.

Qualifications

• High school diploma or equivalent.
• Experience in medical claims processing or customer service within a healthcare setting.
• Knowledge of medical terminology, coding (ICD, CPT), and billing practices.
• Strong communication skills and professionalism in handling sensitive inquiries.
• Proficiency with claims management software and Microsoft Office Suite.

Responsibilities

• Handle inbound calls from members and healthcare providers regarding claims status, benefits, and eligibility inquiries.
• Process healthcare claims accurately through the benefits portal, ensuring compliance with plan rules.
• Review claims for correctness and completeness, requesting additional information when necessary.
• Communicate claim outcomes, appeal procedures, and other relevant information to members and providers.
• Coordinate with benefit managers and insurance carriers regarding claim issues and resolutions.

Skills

Communication skills

Attention to detail

Problem solving

Proficiency with software

Education

High school diploma

Healthcare administration coursework

Tools

Claims management software

Microsoft Office

Job description

Our client, a leading healthcare benefits organization, is seeking a Claims Customer Service Representative to join their team. As a Claims Customer Service Representative, you will be part of the Claims Processing department supporting healthcare members and providers. The ideal candidate will demonstrate excellent communication skills, attention to detail, and a proactive approach to problem-solving, which will align successfully in the organization.

Job Title: Claims Customer Service Representative

Location: Roseland, NJ

Pay Range: $20-$23 hourly

Shift: Monday – Friday, 8:00 AM – 4:30 PM

What's the Job?

• Handle inbound calls from members and healthcare providers regarding claims status, benefits, and eligibility inquiries.
• Process healthcare claims accurately through the benefits portal, ensuring compliance with plan rules.
• Review claims for correctness and completeness, requesting additional information when necessary.
• Communicate claim outcomes, appeal procedures, and other relevant information to members and providers.
• Coordinate with benefit managers and insurance carriers regarding claim issues and resolutions.

What's Needed?

• High school diploma or equivalent; college coursework in healthcare administration or related field preferred.
• Experience in medical claims processing or customer service within a healthcare setting.
• Knowledge of medical terminology, coding (ICD, CPT), and billing practices.
• Strong communication skills and professionalism in handling sensitive inquiries.
• Proficiency with claims management software and Microsoft Office Suite.

What's in it for me?

• Opportunity to work in a dynamic healthcare environment with a dedicated team.
• Training provided to enhance your skills and knowledge in claims processing.
• Potential for career growth within a reputable organization.
• Supportive work culture that values diversity and inclusion.
• Stable employment with consistent work hours.

Upon completion of waiting period associates are eligible for:

• Medical and Prescription Drug Plans
• Dental Plan
• Supplemental Life Insurance
• Short Term Disability Insurance
• 401(k)

ManpowerGroup is committed to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup and all of its subsidiaries to recruit, train, promote, transfer, pay and take all employment actions without regard to an employee's race, color, national origin, ancestry, sex, sexual orientation, gender identity, genetic information, religion, age, disability, protected veteran status, or any other basis protected by applicable law.