Bilingual Medical Claims Clerk

About Us:

We are a trusted Third Party Administrator serving Taft-Hartley groups across California. Our team processes health and welfare benefits, pension and annuity claims, life and disability claims, and provides exceptional customer service. We pride ourselves on accuracy, integrity, and supporting our members with care.

Why Join Us?

• Stable & Established Organization: Be part of a company with a strong reputation in the benefits administration industry.
• Collaborative Team Environment: Work with supportive colleagues who value teamwork and growth.
• Opportunities to Learn: Gain hands-on experience in claims processing and trust fund operations.
• Work-Life Balance: Monday–Friday schedule with no late nights or weekends.

What You’ll Do:

As a Clerk Specialist, you’ll play a key role in keeping our operations running smoothly. Your day-to-day will include:

• Sorting and batching incoming claims mail
• Scanning and organizing documents into shared systems
• Preparing and filing claim batches
• Weekly backlog count to manager every Monday
• Distributing checks and EOB packages
• Assisting with audits and special projects
• Supporting dental consultant tasks and tracking progress
• Processing W-9 forms and coordinating missing information
• Editing and mailing overpayment letters
• Providing backup reception support (answering calls, greeting guests)
• Performing other administrative tasks as directed

What We’re Looking For:

• Experience: Minimum 1 year of general office experience
• Language Skills: Fluent in Spanish (Required)
• Tech Skills: Comfortable with data entry and Microsoft Office (Word & Excel)
• Communication: Excellent verbal and written skills, professional phone etiquette
• Organization: Strong filing, sorting, and multitasking abilities

Job Type: Full-time

Pay: $27.28 - $29.53 per hour

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Vision insurance

Work Location: In person