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Claims Examiner Remote

NTT Ltd -
Plano, TX

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Job Details

Qualifications

Computer operation
Customer communication
Basic math
English
Windows
Desktop applications
Typing
Data accuracy checks
Quality data entry

Full Job Description

NTT Data Services is Hiring!

Grade 3 - HC Insurance Operations Sr Rep
Position's Overview
At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

NTT DATA, Inc. currently seeks an “BPO HC Insurance Operations Sr Rep” to join our team in “Coimbatore”.

Client's business problem to solve?

Our Client is one of Leading Health Plan in US providing services in Florida state, NTT are getting into contract with Client to manage End to End Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction

Position's General Duties and Tasks

In these roles you will be responsible for:

Review and process insurance claims.
Validate Member, Provider and other Claim’s information.
Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure.
Coordination of Claim Benefits based on the Policy Procedure.
Maintain productivity goals, quality standards and aging timeframes.
Scrutinizing Medical Claim Documents and settlements.
Organizing and completing tasks per assigned priorities.
Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
Resolving complex situations following pre-established guidelines

Requirements for this role include:

University degree or equivalent that required formal studies of the English language and basic Math
6+ months of experience where you had to apply business rules to varying fact situations and make appropriate decisions
6+ months of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product.
6+ months of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
6+ months of experience that required prioritizing your workload to meet deadlines

Preferences: - Optional (nice-to-have’s)

Ability to communicate (oral/written) effectively to exchange information with our client.
Commerce graduate with English as a compulsory subject

Required schedule availability for this position is Monday-Friday (06:00pm to 04:00am IST). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.

Apply Now

Refine Your Search

Insurance Contract Examiner jobs

Claims Examiner Remote

Title Examiner

Psychiatric Mental Health Nurse Practitioner

NDE Manager

Nurse Practitioner - Outpatient Adult Psychiatry Services

Primary Therapist

Psychologist for Veteran Evaluations

Speech Language Pathologist (SLP, CF-SLP) School-Based

Behavior Analyst (BCBA)

Liability Claims Examiner - NY

Nurse Practitioner - General Surgery

Dentist

Clinical Director of Nursing

FedEx Ground Delivery Driver

General Pediatrician

Physician - Pediatrics (29-03)

Injury Examiner

Speech Language Pathologist (SLP, CF-SLP) School-Based (PT or FT)

Nursing Home Administrator

Physical Therapist - Outpatient Pelvic Floor - FT - Day - HPW $20,000 Sign-on Bonus

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