MEDICAL CLAIMS ADJUSTER

Wilson-Mcshane Corporation; Duluth (MN); On-site; USD 31,000 - 43,000; Full time

Benefits offered by this job

Low Deductible Health, Prescription Dr

Voluntary Vision, Accident, Critical I

401(k) and Roth 401(k)

Paid Holidays and Paid time off

Employee Assistance Program, including

Job summary

Wilson-McShane Corporation is seeking a Medical Claims Adjuster in Duluth, MN to serve as the primary contact for participants and providers, handling a high volume of calls and inquiries. The role balances claims processing with outstanding service in a fast-paced setting.

The schedule is 8:00am-5:00pm, Monday-Friday with a 1-hour lunch. This non-exempt position offers a starting wage of $26.85 per hour plus benefits including health, dental, vision, and retirement plans, paid holidays/PTO, and

Qualifications

• 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.

Responsibilities

• Handle a high volume of phone calls and respond to benefit and claims-related inquiries.
• Process medical and short-term disability claims accurately and timely.
• Provide exceptional customer service to participants and providers, balancing multiple priorities in a fast-paced environment.

Skills

Customer service

Prior claims handling

Communication skills

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 $26.85 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


• 401(k) and Roth 401(k)


• Paid Holidays and Paid time off


• 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.