New Job Opening: Medical Only Adjuster - Wallingford, CT in Meriden, CT

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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