Remote Claims Analyst

Wipro Limited Remote
remote analyst medical analyst dental frames interpret production quality standards customer service providers warrants high school
January 24, 2023
Wipro Limited
Canfield, Ohio

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

Candidate does need to live near Canfield Ohio

  • 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

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