MEDICAL CLAIMS ADJUSTER

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

Benefits offered by this job

Low Deductible Health Plan

Dental & Vision Insurance

401(k) & Roth 401(k)

Paid holidays & PTO

Employee Assistance Program

Job summary

Wilson-McShane Corp. is seeking a Medical Claims Adjuster in Duluth, MN. The role involves serving as the primary contact for participants and providers, handling a high volume of calls, and responding to benefit and claims inquiries.

You will process medical and short-term disability claims, ensuring timely, accurate handling and delivering outstanding customer service. The position runs 8:00am-5:00pm, Monday-Friday, with a 1-hour lunch.

Qualifications

• Minimum of two years claims paying experience.
• 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 and email inquiries from participants and providers regarding benefits and claims.
• Process medical and short-term disability claims accurately and timely.
• Support participants and providers in person when needed, balancing multiple priorities in a fast-paced environment.

Skills

Claims paying experience

MS Office proficiency

Reading & interpreting SPD

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.