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Title:  Claims Adjuster Healthcare

Requisition ID:  11594
City:  Tampa
Country/Region:  US

2025 is here and we are continuing to grow!

Wipro is seeking individuals who combine excellent claims examiners (Medical, Dental, Vision), 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, 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 65 countries.

We offer a strong compensation package that includes competitive hourly pay and day one benefits. Wipro also offers many opportunities for career advancement within our engaging and exciting culture.

2025 is here and we are continuing to grow!

Wipro is seeking individuals who combine excellent claims examiner (Medical, Dental, Vision), 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, 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 65 countries.

We offer a strong compensation package that includes competitive hourly pay and day one benefits. Wipro also offers many opportunities for career advancement within our engaging and exciting culture.

Location - Tampa, FL 33634 (After 6 weeks of one site training, this position is hybrid 2 days in office and 3 days work from home)

Work authorization – US Citizen OR US Green Card

Relocation - None

Health Insurance Claim Processor

As a Claims Processor you'll be responsible for reviewing and processing insurance claims to determine the appropriate action to be taken. This role involves gathering information, evaluating claims for validity, and ensuring that all necessary documentation is complete.

This is a hybrid in office position located in the Tampa Bay, Fl area. You will be required to be in office twice a week.

 

PRINCIPAL RESPONSIBLITIES                                                                                       

• Medical Claims Processing - Accurately review, verify and process insurance claims following the company policies/SOPs.                                                                                              

• Documentation Review - Analyze claim documents, medical records, benefit summary to determine claim eligibility and process the claim as per the benefit.                                                           

• Customer and Internal Business Partner Interaction - Communicate with member, healthcare providers and internal business partners to resolve the claim or gather required additional information.                                                                                                   

• Data Entry - Enter claim details and maintain accurate records within the claims management system.                                                                                                

• Problem resolution - Investigate discrepancies and resolve disputes related claim processing         

• Rework Adjustment Experience - Should be able to perform the rework adjustment basis the provider request and internal rework/adjustment requirement.                                                                

• Continuous improvement - Identify process improvement opportunities to enhance claims accuracy and efficiency.     

 

Experience with the following:

o CPT codes

o ICD9/ICD10 codes

o Medical terminology

o HIPPA regulations

o Medicare claims –

o Medicaid claims –

o ACA (Affordable Care Act) –

Qualifications

  • Experience with claims processing (Medical, Dental, Vision)
  • Demonstrate strong work ethics by maintaining confidentiality of information.
  • High aptitude for working with numbers.
  • Must work well under pressure and make decisions quickly
  • Have excellent interpersonal and communication skills and ability to address conflict proactively
  • High School Diploma or higher (will be verified and you will need to provide documentation during on-boarding process)

 

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: Tampa

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