Medical Only Adjuster - Wallingford, CT

The Jonus Group; Meriden (CT); On-site; USD 37,000 - 42,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401k with company match

Professional development

Wellness program

Job summary

Jonus Group is seeking a Medical Only Insurance Claims Adjuster to manage medical-only claims with accuracy and efficiency. The role focuses on reviewing records, determining coverage, and coordinating with providers and policyholders to close claims promptly.

Ideal candidates bring 1-3 years of medical claims experience, strong analytical and communication skills, and careful attention to detail. This position is based in Meriden, CT, and offers growth opportunities within a supportive claims

Qualifications

• 1-3 years of experience as a Medical Only Claims Adjuster or in a related healthcare field.
• Knowledge of medical terminology, billing practices, and healthcare regulations.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Detail-oriented with the ability to prioritize and manage multiple tasks.

Responsibilities

• Manage a caseload of medical-only insurance claims from inception to resolution.
• Review medical records, bills, and other documentation to determine coverage and eligibility.
• Communicate with medical providers, policyholders, and other parties involved in the claims process to gather information and facilitate resolution.
• Provide timely updates and responses to inquiries regarding claim status and coverage.
• Evaluate medical bills and expenses to determine reimbursement amounts in accordance with policy coverage and guidelines.

Skills

Medical claims handling

Medical terminology knowledge

Analytical skills

Communication skills

Detail-oriented

Job description

Our client, who is a leading insurance company dedicated to providing exceptional service and coverage to their policyholders, is currently seeking a talented and detail-oriented Medical Only Insurance Claims Adjuster to join their claims team.

Position Overview:

As a Medical Only Insurance Claims Adjuster, you will be responsible for managing a caseload of medical-only claims, ensuring timely and accurate processing. You will collaborate with medical providers, policyholders, and other stakeholders to facilitate the efficient resolution of claims while maintaining a high level of customer service.

Salary/Benefits:

• $37,000 - $42,000/+year (Based on experience)
• Comprehensive health, dental, and vision insurance
• 401k retirement savings plan with company match
• Professional development opportunities
• Employee wellness programs

Key Responsibilities:

• Manage a caseload of medical-only insurance claims from inception to resolution.
• Review medical records, bills, and other documentation to determine coverage and eligibility.
• Communicate with medical providers, policyholders, and other parties involved in the claims process to gather information and facilitate resolution.
• Provide timely updates and responses to inquiries regarding claim status and coverage.
• Evaluate medical bills and expenses to determine reimbursement amounts in accordance with policy coverage and guidelines.

Qualifications:

• 1-3 years of experience as a Medical Only Claims Adjuster or related healthcare field
• Knowledge of medical terminology, billing practices, and healthcare regulations.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Detail-oriented with the ability to prioritize and manage multiple tasks effectively.

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