Medical Claims Adjuster Medical Claims Adjuster Job at Wipro, Canfield, OH

cm5JUFdldVdLalJ0K2wzV2Z5cW5LYTFo
  • 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

Friends of Youth

Coordinator, Assistant Kitchen Services - HYS Job at Friends of Youth

 ...malfunctions or shortages of ingredients. Kitchen Management # Assist in the training and supervision of kitchen services volunteers. # Provide guidance and support to employees, ensuring they adhere to the agencys policies and standards. # Assist the Manager... 

Rutland Regional Medical Center

Manager Engineering & Maintenance Job at Rutland Regional Medical Center

The Manager of Engineering & Maintenance is responsible for the oversight, management, and execution of all building utility systems, building infrastructure, interiors, and non-medical equipment repairs and maintenance. Responsible for day-to-day implementation and...

Good Samaritan Society

RN - Registered Nurse - De Smet - FT - Nights Job at Good Samaritan Society

 ...Careers With Purpose Join our not-for-profit organization that has provided over 100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment. Facility: GSS SD Desmet Ctr Location: De... 

Sanford Health

RN Inpatient - Med/Surg/Critical Care Job at Sanford Health

 ...extraordinary Critical Care/Med Surg team as a Registered Nurse (RN) utilizing a team-based approach to patient care in a rewarding and...  ...time off. RN-ADN pay range: $34.35 - 49.11 RN-BSN pay range: $35.85 - 50.61 Job Summary The Registered... 

Sanford Health

RN Clinical Care Leader - Sleep Clinic Job at Sanford Health

 ...staff training and orientation regarding operating rules and working standards. Supports...  ...policies. Accountable to follow up with risk management and training of clinical staff as needed...  ...certifications. Functions within the legal scope of practice. Sanford is an EEO...