Medical Claims Adjuster | Impactful & Fast-Paced

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

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.