Customer-Focused Medical Claims Specialist

Wilson-McShane Corporation; BLOOMINGTON (MN); On-site; USD 60,000 - 70,000; Full time

Benefits offered by this job

Health benefits

Vision insurance

Flexible Spending Account

401(k) and Roth 401(k)

Paid holidays and PTO

Dependent Care Reimbursement Account

Life Insurance & AD&D

Short Term Disability (employer paid)

Employee Assistance Program

Job summary

Wilson-McShane Corporation is seeking a Medical Claims Adjuster to serve as a primary contact for participants and providers, handling inquiries and processing medical and short-term disability claims with accuracy. You will contribute to efficient claims handling while delivering excellent customer service in a fast-paced environment.

The role supports phone and in-person interactions with a schedule of 8:00am-5:00pm, Monday through Friday.

Qualifications

• Minimum of two years claims paying experience required.
• Ability to read and interpret documents such as Summary Plan Description and procedure manuals.
• Computer Skills: Proficiency with Microsoft Office. Quick learner of other computer applications.

Responsibilities

• Handle a high volume of phone calls from participants and providers.
• Respond to benefit and claims-related inquiries in a timely and accurate manner.
• Process medical and short-term disability claims while balancing multiple priorities.

Skills

Phone handling

Customer service

Communication

Tools

Microsoft Office

Job description

Description

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.

The schedule for this position is 8:00am-5:00pm, Monday-Friday with a 1 hour lunch. This role is a non-exempt position with compensation at $28.80 per hour and includes benefits such as the following:

• 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)-No Match Required
• 401(k) and Roth 401(k)
• Paid Holidays and Paid time off
• Dependent Care Reimbursement Account
• Life Insurance and AD&D
• Employer Paid Short Term Disability
• Employee Assistance Program, including access to confidential counseling (virtual and in-person)

Essential Skills and Qualifications:

• Minimum of two years claims paying experience required.
• Ability to read and interpret documents such as Summary Plan Description and procedure manuals.
• Computer Skills: Proficiency with Microsoft Office. Quick learner of other computer applications.

If you enjoy utilizing attention to detail to process claims and providing excellent customer service as you assist people with their claims process, please consider applying today!