MEDICAL CLAIMS ADJUSTER

Wilson-McShane Corporation; Platte Gardens (MO); On-site; USD 33,000 - 45,000; Full time

Benefits offered by this job

Low-deductible health plan

Dental benefits

Vision insurance

Flexible Spending Account

401(k) with employer contribution

Paid holidays and PTO

Employee Assistance Program

AD&D

Life Insurance

Job summary

Wilson-McShane Corporation seeks a Medical Claims Adjuster to act as a primary contact for participants and providers, handling benefits and claims inquiries. You will balance high call volume while processing medical and short-term disability claims accurately in a fast-paced environment.

The role is non-exempt with a schedule of 8:00am-5:00pm, Monday-Friday, offering health/dental/prescription benefits, FSA, 401(k) options, paid holidays & PTO, and employee assistance programs.

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

• Serve as a primary contact for participants and providers.
• Handle a high volume of phone calls and inquiries related to benefits and claims.
• Process medical and short-term disability claims accurately and timely.

Skills

Two years claims paying experience

Reading & interpreting documents

Microsoft Office proficiency

Tools

Microsoft Office

Job 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.