MEDICAL CLAIMS ADJUSTER

Wilson-Mcshane Corp.; Las Vegas (NV); Hybrid; USD 32,000 - 34,000; Full time

Benefits offered by this job

Health benefits

Vision insurance

FSA

401(k) & ESOP

Roth 401(k)

Holidays & PTO

Dependent Care Reimbursement

Life Insurance & AD&D

Employee Assistance Program

Job summary

Wilson-McShane Corporation seeks a Medical Claims Adjuster to serve as a primary contact for participants and providers. You will handle a high volume of calls and respond to inquiries while processing medical and short-term disability claims accurately and timely.

Based in Las Vegas, the role emphasizes exceptional customer service, in-person and phone support, and efficient claims handling in a fast-paced environment. A Tuesday-Friday schedule could be typical, with benefits provided as listed.

Qualifications

• Minimum of two years claims paying experience.
• 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

• Serve as primary contact for participants and providers by phone and in person.
• Process medical and short-term disability claims accurately and timely.
• Respond to benefit and claims inquiries while balancing high call volume.
• Support participants and providers by navigating multiple priorities in a fast-paced environment.

Skills

Claims paying experience

SPD interpretation

Computer literacy

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 7:30am-4:00pm, Monday-Friday. This role is a non-exempt position with compensation range of $23.00-$25.00 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) & Employee Stock Ownership Plan (ESOP)
• 401(k) and Roth 401(k)
• Paid Holidays and Paid time off
• Dependent Care Reimbursement Account
• Life Insurance and AD&D
• 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.