Claim Adjuster
5 days ago
Medica is seeking a highly skilled Claim Adjustment professional to join our team. As a Claim Adjustment, you will play a critical role in ensuring the accuracy and efficiency of our claims processing operations.
Key Responsibilities- Process and reconcile various types of cash receipts, including lockboxes, ACH, card payments, cash, and Check Free payments.
- Monitor and process held checks, investigating and resolving variances.
- Perform bank account reconciliations, resolving and balancing premium and miscellaneous payment variances.
- Prepare and enter data from scanned documents.
- Analyze, update, and maintain departmental databases.
- Coordinate and process the mailing of external documents, ensuring quality and compliance with HIPAA.
- Verify control totals, release files, and sign off on ID cards, Member Guides, SBCs, and other vendor documents.
- Maintain and apply all departmental cash controls, ensuring successful financial, state, and federal audits.
- High School diploma or equivalent.
- 1 year of relevant work experience.
- Effective time management skills to handle multiple tasks and meet time-sensitive deadlines.
- Experience or knowledge of health insurance.
- Experience with cash receipts and cash handling.
- Experience in account reconciliation.
- Proficiency in Microsoft Office, specifically strong Excel skills.
- Strong verbal and written communication skills.
- High level of attention to detail and customer service.
- Strong organizational skills.
Medica is a leading healthcare company that provides innovative solutions to improve the health and well-being of our members. We are committed to diversity, equity, and inclusion, and we strive to create a workplace that is inclusive and respectful of all employees.
We offer a competitive salary range of $32,600 - $55,900, as well as a comprehensive benefits package, including medical, dental, vision, PTO, holidays, paid volunteer time off, 401K contributions, and more.
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Claim Adjuster
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Madison, Wisconsin, United States Medica Full timeJob Summary:Medica is seeking a highly skilled and detail-oriented Claim Adjustment professional to join our team. As a Claim Adjustment, you will play a critical role in ensuring the accuracy and efficiency of our claims processing operations.Key Responsibilities:Process and analyze various types of medical claims, including inpatient and outpatient...
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Property Field Inspection Claim Specialist
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Madison, Wisconsin, United States State Farm Mutual Automobile Insurance Company Full timeAbout the RoleWe are seeking a highly skilled Property Field Inspection Claim Specialist to join our team at State Farm Mutual Automobile Insurance Company. As a key member of our claims handling team, you will be responsible for handling accidental and weather-related claims for homeowners, commercial properties, and large losses.Key ResponsibilitiesConduct...
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Madison, Wisconsin, United States State Farm Mutual Automobile Insurance Company Full timeJob SummaryWe are seeking a highly skilled Property Field Inspection Claim Specialist to join our team at State Farm Mutual Automobile Insurance Company. As a key member of our claims handling team, you will be responsible for handling accidental and weather-related claims for homeowners, commercial properties, and large losses.Key ResponsibilitiesConduct...
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Madison, Wisconsin, United States State Farm Mutual Automobile Insurance Company Full timeJob Title: Property Field Inspection Claim SpecialistState Farm Mutual Automobile Insurance Company is seeking a highly skilled Property Field Inspection Claim Specialist to join our team. As a key member of our claims handling team, you will be responsible for conducting on-site inspections and assessments of property damages for both residential and...
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