Overview:
Who We Are
Wipro is continuing to grow in 2024! More opportunity for advancement too!
Wipro is a leading, publicly traded, global IT Solutions and Services company with over 200,000 dedicated employees serving clients across multiple continents and over sixty countries.
Wipro is seeking individuals who combine excellent customer service and problem-solving skills with the ability to function effectively as part of a team or on an individual basis to bring their talent to our team.
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.
The Claims Examiner position is responsible for processing medical, dental and vision claims.
Job Description:
- Demonstrate skills in problem solving and benefit plan interpretation
-
Knowledge of CPT codes, ICD10 codes and/or medical terminology is a plus
-
Ability to work independently
-
PC proficiency
-
Average typing ability
-
1 year's prior work experience in health care administration
Roles & Responsibilities:
- Review and process 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 examiners
-
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