Claims Examiner Claims Examiner job at Wipro Canfield, OH, US

Job Description

Here we grow again with new opportunities!

Wipro is seeking individuals who combine excellent customer service and problem-solving skills with the ability to function effectively both as part of a team or on an individual basis to bring their talent to our team.

Wipro is a leading global IT Solutions and Services company with over 200,000 dedicated employees serving clients across more than 66 countries.

We offer a strong compensation package that includes competitive pay and day one benefits. Wipro also offers many opportunities for career advancement within our engaging and exciting culture.

Onsite 3701 Boardman Canfield Rd., Bldg. B, Canfield Ohio 44406

USC and Green Card only

No relocation

The Claims Analyst position responsible for adjusting medical, dental and vision claims.

Review and adjust medical claims according to Plan guidelines within established turnaround time frames
Interpret medical plan to assure system is coded correctly
Review claims for legitimacy and accuracy
Meet production and quality standards set for adjusters
Properly assign over-payments and refunds to existing balances
Work Customer Service inquiries related to claim questions
Review correspondence submitted by members and providers and adjust all related claims if the additional documentation submitted warrants adjustment
Other duties as assigned

High School/GED required

Demonstrate skills in problem solving and benefit plan interpretation
Knowledge of CPT codes, ICD9/ICD10 codes and/or medical terminology is a plus
Ability to work independently
PC proficiency
Average typing ability

Job Tags

Relocation,

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