Trainee Medical Reviewer

Responsibilities Review, analyze, make appropriate and accurate decisions on dental claims in accordance with policy and state/federal law and regulations. Analyze claim detail and apply knowledge of claims procedures, product design, contract provisions and state and federal regulations to make appropriate, accurate, and timely claim decisions. This includes having a knowledge of plan provisions, determination of eligibility, verification of data input, identification of correct benefit level, coordination of benefits, and corrections. Qualifications 0-1 work experience, (Upto 1-year related work experience required in financial services, insurance industry, claims processing, or dental insurance experience preferred). Dentist by qualification - BDS / MDS degree. Ability to maintain a high degree of accuracy and pay strict attention to detail. Must have excellent written and verbal communication skills. Ability to use basic math skills to determine claim payment. Work independently with good time management skills as well as in a team environment. Must have the ability to efficiently navigate and use multiple technology solutions. Ability to maintain confidentiality. Ability to thrive in a fast-paced, production environment. Additional Information Must have: Bachelor of Dental Surgery (BDS). Minimum of 0-1 years experience in medical/dental terminology, and/or industry courses (i.e., LOMA). Prior claim paying, and/or medical/dental industry experience preferred. Ability to work in night shift during the training time (5:30pm to 2:30AM) and in 1:30pm to 10:30pm in as regular work timings. Proficient in MS Office, written and verbal communication skills.