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:
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Core principles of health insurance and TPA operations
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Step-by-step claim adjudication workflow
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How to review medical documentation, apply policy rules, and detect discrepancies
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Use of internal tools and systems for claim entry and decision-making
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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.