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.
Job Description
Medical Claims Examiner I
Location: Hybrid after successful completion of onsite training 4110 George Rd Tampa, Florida.
Hours: 8-5pm ET
Compensation: $20 per hour
Position Summary:
The Medical Claims Examiner I position is responsible for processing medical, dental and vision claims. In this pivotal role, you will demonstrate skills in problem solving and benefit plan interpretation. This includes providing comprehensive customer support, addressing inquiries and resolving issues with professionalism and efficiency. You will play a crucial role in fostering positive customer relationships as well as ensuring every customer feels valued and supported.
Additional Job Duties:
- 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 accurac
- 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
Requirements:
- Minimum High School/GED
- Claims Examiner experience in healthcare for medical, dental, vision, prescription, etc.
- Must have knowledge of CPT codes, ICD9/ICD10 codes and/or medical terminology
- Ability to work independently. PC proficiency, MS Office including Word and Excel
Preferences:
- Experience with Medicare, Medicaid and Affordable Care Act (ACA) is a plus
Mandatory Experience- Claims Examination
Expected annual pay for this role ranges from $40,000 to $41,000 . Based on the position, the role is also eligible for Wipro’s standard benefits including a full range of medical and dental benefits options, disability insurance, paid time off (inclusive of sick leave), other paid and unpaid leave options.
Reinvent your world. We are building a modern Wipro. We are an end-to-end digital transformation partner with the boldest ambitions. To realize them, we need people inspired by reinvention. Of yourself, your career, and your skills. We want to see the constant evolution of our business and our industry. It has always been in our DNA - as the world around us changes, so do we. Join a business powered by purpose and a place that empowers you to design your own reinvention.
Applications from people with disabilities are explicitly welcome.