Medical Claims Specialist — Impactful, Fast-Paced Support

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

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.