CANFIELD, Ohio, USA
6 days ago
Claims Adjustment Examiner
Here we grow again! Wipro is seeking individuals who combine excellent 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 240,000 dedicated employees serving clients across multiple continents and 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. On site 3701 Boardman Canfield Rd., Bldg. B, Canfield Ohio 44406 Work authorization: US Citizen or Green Card only No relocation The Claims Adjustment Examiner position is 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 ligitmacy and accuracy Meet production and quality standars set for adjusters Properly assign over-payment 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 soving and benefit plan interpretation Knowledge of CPT codes, ICD10 codes and medical terminology Ability to work independently PC proficiency Average typing ability 1 year's prior experience in health care administration
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