Medical Claims 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 Examiner position is 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 ligitimacy and accuracy. 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, ICD10 codes and medical teminology Ability to work independently PC proficiency Average typing ability Prefer 1 year experience in health care administration