NTT DATA, Inc.
Claims Examiner – Plano, Texas, United States
We are currently seeking a Claims Examiner to join our team in Plano, Texas.
Responsibilities
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.
Coordinate Claim Benefits based on the Policy & Procedure.
Maintain productivity goals, quality standards and aging timeframes.
Scrutinize Medical Claim Documents and settlements.
Organize and complete tasks per assigned priorities.
Develop and maintain a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team.
Resolve complex situations following pre‑established guidelines.
Requirements
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
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 (7:00 – 16:00 CT). Shift timings can be changed per client requirements. Resources may also need to work overtime and on weekends as business requirements dictate.
Job Segment: Cloud, Data Entry, Consulting, Technology, Administrative
NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.
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Responsibilities
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.
Coordinate Claim Benefits based on the Policy & Procedure.
Maintain productivity goals, quality standards and aging timeframes.
Scrutinize Medical Claim Documents and settlements.
Organize and complete tasks per assigned priorities.
Develop and maintain a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team.
Resolve complex situations following pre‑established guidelines.
Requirements
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
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 (7:00 – 16:00 CT). Shift timings can be changed per client requirements. Resources may also need to work overtime and on weekends as business requirements dictate.
Job Segment: Cloud, Data Entry, Consulting, Technology, Administrative
NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.
#J-18808-Ljbffr