Medical Claims Adjuster

About us Group Administrators is a Third Party Administration that has been in business for over 35 years. We provide administrative services for self-funded health insurance plans and process all claims in house. As our business is growing, we are looking to add to the team. ```Duties``` - Review and analyze medical claims for accuracy and completeness - Determine the appropriate payment or denial of claims based on policy guidelines - Verify medical coding and billing information to ensure compliance with industry standards - Investigate and resolve any discrepancies or issues related to claims - Communicate with healthcare providers, insurance companies, and policyholders regarding claim status and resolution - Maintain accurate records of claims processing activities ```Experience``` - Minimum of 2 years of experience in medical claims examination or related field - Proficient in medical collection systems and software - Knowledge of medical office procedures and terminology - Familiarity with medical billing processes, including CPT coding and ICD-10 coding - Strong attention to detail and ability to accurately interpret medical records and documentation The Claims Adjuster position requires a high level of accuracy, attention to detail, and knowledge of medical coding and billing practices. The successful candidate will have experience in reviewing and analyzing medical claims, as well as excellent communication skills to effectively resolve any issues or discrepancies. This role plays a crucial part in ensuring accurate claims processing and maintaining positive relationships with healthcare providers and policyholders. Please note that this is not an entry-level position. Candidates must have a minimum of 2 years of experience in medical claims examination or a related field. Proficiency in medical collection systems and software is also required. If you are looking for a challenging role in the healthcare industry where you can utilize your expertise in medical coding, billing, and claims examination, we encourage you to apply for the Claims Adjuster position. We offer competitive compensation packages, comprehensive benefits, and opportunities for professional growth within our organization. To apply for this position, please submit your resume with your relevant experience in medical claims examination. We look forward to reviewing your application! Job Type: Full-time Benefits: 401(k) 401(k) matching Dental insurance Flexible spending account Health insurance Vision insurance Schedule: 8 hour shift Monday to Friday Ability to Relocate: Schaumburg, IL 60173: Relocate before starting work (Required) Work Location: In person