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Medical Claims Examiner

AT Wipro
Wipro

Medical Claims Examiner

Tampa, FL

Our new Tampa office is open! We are continuing to grow!

Wipro is seeking individuals who combine excellent customer service experience 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.

On site - 4110 George Rd., Tampa, FL 33634

Work authorization: USC and Green Card only

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No relocation

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

Client-provided location(s): Tampa, FL, USA
Job ID: Wipro-3121047
Employment Type: Full Time