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Title:  Claims Examiner Healthcare

Requisition ID:  70151
City:  Atlanta
Country/Region:  US
Wipro Limited (NYSE: WIT, BSE: 507685, NSE: WIPRO) is a leading technology services and consulting company focused on building innovative solutions that address clients’ most complex digital transformation needs. Leveraging our holistic portfolio of capabilities in consulting, design, engineering, and operations, we help clients realize their boldest ambitions and build future-ready, sustainable businesses. With over 230,000 employees and business partners across 65 countries, we deliver on the promise of helping our customers, colleagues, and communities thrive in an ever-changing world. For additional information, visit us at www.wipro.com.

Here we grow again!!!! Wipro is seeking individuals who combine excellent  Technical Writer Medical Devices  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, Ltd (NYSE: WIT) is a leading, publicly traded, global IT solutions and services company with over 250,000 dedicated employees serving clients across multiple continents with over 130 locations in more than sixty-five 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.

 

Location: 4110 George Rd., Tampa, FL 33634  OR 2858 Woodcock Blvd (Davidson Building) Atlanta, GA 303

Hybrid: Fulltime employment, onsite and work from  home

Relocation: Non

Work authorization: US Citizen or US Green Card

 

 

Position Summary         The Customer Service Representative (CSR) at the Elevance DDC project is responsible for processing and reviewing claims to determine eligibility. 

 

                       Responsibilities/                 • Responsible for reviewing and processing claim applications and

Duties                            resolve errors in the system in the form of edits, determining eligibility, processing member maintenance tasks and any required changes before claims are closed by the respective team.

  • Documenting required information into the system where applicable and follow the SOP for resolution of errors in claims
  • Meeting production and quality standards consistently while in an office and/or remote environment is required.
  • Work in a team environment and in collaboration with client partners
  • Multiple job tasks may be assigned at times.

 

 

 

 

 

MUST HAVE

 

 

 

 

 

 

 

 

 

 

Qualifications

  • The role will be remote working/hybrid (basis business needs) 
  • High commitment to report and work at scheduled shift time and always staying in communication with Supervisor/Team Leader.  
  • Ability to work flexible schedules (Monday – Sunday ie 5 work days)
  • Must be able to react quickly and proactively in a rapidly changing and dynamic work environment.
  • Background checks and documentation should be passed.

 

 

  • HS Diploma/GED (will be verified)  • Minimum 1 year’ of work experience preferred. 
  • Data Entry or backend processing work experience preferred.
  • Prior Claims processing/Customer Service experience helpful but not required.
  • Must have good reading and analytical/problem solving capabilities.
  • PC proficiency, MS Office including Word and Excel.
  • Must be computer literate with basic understanding of connecting cables/USB functionalities.
  • Good communication and written skills
  • Typing speed of min 30 wpm with 90% accuracy
  • Must be able to furnish all paperwork/documentation on background check.
  • Should be organized, maintain high quality work and detail-oriented.
  • Ability to think independently, make decisions, and be productive while adhering to company standards and guidelines.
  • Must be driven and motivated to exceed individual and team goals.
  • Should always maintain professional email/chat etiquettes. Professional behavior with courteous, polite, and energetic qualities
  • Required overtime where applicable (no exceptions)
  • Satisfactory attendance is a must - First 90 days no time missed.

 

 

 

 

 

If you encounter any suspicious mail, advertisements, or persons who offer jobs at Wipro, please email us at helpdesk.recruitment@wipro.com. Do not email your resume to this ID as it is not monitored for resumes and career applications.

Any complaints or concerns regarding unethical/unfair hiring practices should be directed to our Ombuds Group at ombuds.person@wipro.com.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, caste, creed, religion, gender, marital status, age, ethnic and national origin, gender identity, gender expression, sexual orientation, political orientation, disability status, protected veteran status, or any other characteristic protected by law.

Wipro is committed to creating an accessible, supportive, and inclusive workplace. Reasonable accommodation will be provided to all applicants including persons with disabilities, throughout the recruitment and selection process. Accommodations must be communicated in advance of the application, where possible, and will be reviewed on an individual basis. Wipro provides equal opportunities to all and values diversity.


Nearest Major Market: Corning

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