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MEDICAL CLAIMS ADJUSTER

Wilson-McShane Corp
Downers Grove, IL Full Time
POSTED ON 1/29/2025 CLOSED ON 3/29/2025

What are the responsibilities and job description for the MEDICAL CLAIMS ADJUSTER position at Wilson-McShane Corp?

Wilson-McShane Corporation is seeking a full-time Medical Claims Adjuster to join our Downers Grove, IL office. As a Medical Claims Adjuster, you have a direct impact on the participants and families of the plans we administer by ensuring their claims are processed timely and accurately.

The schedule for this position is 8:00am-5:00pm, Monday-Friday with a compensation of $26.50 per hour.

Essential duties and responsibilities include:

  • Processes medical and short-term disability claims.
  • Answers high volume telephone calls from participants and providers with benefit questions.
  • Meets with participants on a regular basis to answer benefit questions.
  • Follow all HIPAA compliance guidelines to ensure protection of participant protected health information.
  • Other duties as assigned

The Claims Adjuster position is a non-exempt position and includes benefits such as the following:

  • Low Deductible Health, Prescription Drug and Dental Benefits
  • Voluntary Vision, Accident, Critical Illness and Pet Insurance
  • 401(k) and Roth 401(k)
  • Paid Holidays and Paid time off
  • 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 preferred.
  • 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.
  • Bi-lingual in English/Spanish preferred

If you enjoy utilizing attention to detail to process claims and providing excellent customer service as you assist people with their claims process, please consider applying today!

Salary : $27

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