Healthcare Claims Support Specialist

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

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.