Job Description
Description
We are looking for a detail-oriented Medical Claims Adjuster to join a mission-driven organization serving employee benefit trust funds in Pleasanton, California. This contract opportunity with permanent potential is ideal for someone who thrives in a fast-paced claims environment and can balance accuracy, responsiveness, and sound judgment. In this role, you will support the administration of health and welfare benefits by reviewing medical claims, addressing inquiries, and helping ensure compliance with plan guidelines and industry standards.
Medical Claims Adjuster Responsibilities:
• Review and process medical claims with a high degree of accuracy while applying plan provisions, coding standards, and established benefit rules.
• Support the delivery of union-sponsored health and welfare benefit programs by handling claim activity in a timely and consistent manner.
• Provide clear guidance to members, dependents, providers, a...
We are looking for a detail-oriented Medical Claims Adjuster to join a mission-driven organization serving employee benefit trust funds in Pleasanton, California. This contract opportunity with permanent potential is ideal for someone who thrives in a fast-paced claims environment and can balance accuracy, responsiveness, and sound judgment. In this role, you will support the administration of health and welfare benefits by reviewing medical claims, addressing inquiries, and helping ensure compliance with plan guidelines and industry standards.
Medical Claims Adjuster Responsibilities:
• Review and process medical claims with a high degree of accuracy while applying plan provisions, coding standards, and established benefit rules.
• Support the delivery of union-sponsored health and welfare benefit programs by handling claim activity in a timely and consistent manner.
• Provide clear guidance to members, dependents, providers, a...
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