Claims Examiner Claims Examiner Job at Wipro, Canfield, OH

cURFU0xSenNpV1l1SXVjbWMwaVo1YkNUVGc9PQ==
  • Wipro
  • Canfield, OH

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,

Similar Jobs

EPAM Systems, Inc.

Middle Microsoft Dynamics 365 CRM Developer Job at EPAM Systems, Inc.

Middle Microsoft Dynamics 365 CRM Developer Description EPAM is a leading global provider of digital platform engineering and development services. We are committed to having a positive impact on our customers, our employees, and our communities. We embrace a dynamic... 

Hyatt

Security Manager Job at Hyatt

 ...This position will coordinate, lead, and direct all property security and safety policies and procedures.He/She leads and chairs the...  ...fire and emergency plans and departmental rules of conduct Management of VIP arrivals and departures Oversight of supervision of... 

Daily Jobs

Data Entry Clerk Night Shift Job at Daily Jobs

This is the ideal opportunity for people seeking flexible work environments and wants to earn a steady income without the need to commute. If you're organized, motivated, and looking for flexibility in your work, this could be the role for you. Responsibilities: - ...

Greenlife Healthcare Staffing

Job # 3108 - Family/ Adult Nurse Practitioner (Per Diem) Job at Greenlife Healthcare Staffing

Family/ Adult Nurse Practitioner (Per Diem) - New York, NY (#3108) New graduates are welcome to apply Greenlife Healthcare Staffing is currently seeking a Nurse Practitioner for an opening at a Physical Therapy and Pain Management Facility in New York, NY. The facility... 

Blueprint

Chief of Staff Job at Blueprint

 ...world. We move quickly, work efficiently, and enjoy an environment defined by competence. Were looking for an extraordinary Chief of Staff to work in tandem with Bryan on his daily tasks. You will make critical decisions with him across various departments, and...