This exclusive course category is designed specifically for employees of Medilink-Global. It provides structured learning modules to enhance your knowledge of health insurance processes, TPA operations, claims management, policy interpretation, and customer service excellence. Each course is aligned with our company standards and operational practices, equipping team members with the tools and insights needed to deliver exceptional service and uphold Medilink-Global’s commitment to quality and integrity.

Medilink Claim Adjudicator

Course Title: Medilink Claim Adjudicator
Course Type: Internal Training – Medilink-Global Employees Only
Duration: 13 Episodes
Level: Beginner - Intermediate

Course Description:

The Medilink Claim Adjudicator course is a specialized training program designed exclusively for Medilink-Global employees involved in claims processing and benefit administration. This course provides in-depth knowledge and practical skills required to evaluate and process medical insurance claims efficiently, accurately, and in compliance with Medilink-Global standards and industry regulations.

Participants will learn:

  • Core principles of health insurance and TPA operations

  • Step-by-step claim adjudication workflow

  • How to review medical documentation, apply policy rules, and detect discrepancies

  • Use of internal tools and systems for claim entry and decision-making

  • Communication best practices with providers and policyholders

By the end of this course, participants will be able to adjudicate claims confidently while ensuring compliance, quality, and a high level of service for all stakeholders in the Medilink-Global ecosystem.

Note: Completion of this course is mandatory for team members assigned to Claims Processing and Adjudication functions.