NTT America
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward‑thinking organization, apply now.
We are currently seeking a Business Systems Analysis Analyst to join our team in Lincoln, Nebraska.
Position Claims Case Manager
This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short‑ and long‑term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.
Role Overview We are seeking a dedicated Claims Case Manager to provide comprehensive claim servicing to our insurance policyholders. This role involves managing the entire claims process from intake to final decision, ensuring frequent status updates to claimants through their preferred communication channels (email, phone, mail, etc.). The ideal candidate will have a strong analytical skill set, a thorough understanding of the claims process, and the ability to communicate with empathy and detail.
Pay for this Role $23hr
Key Responsibilities
End‑to‑End Claim Management: Handle every aspect of the claim process, from intake to final decision.
Status Updates: Provide frequent updates to claimants through their preferred communication channels.
Document Review: Thoroughly review medical documents, claim forms, and policy notes.
Communication: Interact with claimants with empathy and attention to detail.
Team Collaboration: Work with team members to ensure high‑quality service and resolution of issues.
Record Keeping: Maintain accurate records and reports throughout the claims process.
Data Analysis: Compile and analyze data to identify trends and perform root cause analysis.
Claim Initiation: Gather information and initiate claims through various channels.
Detailed Logging: Log and update pertinent information throughout the claim lifecycle.
Omni‑Channel Correspondence: Communicate required medical records and claim information via email, mail, and phone.
Proactive Follow‑Up: Follow up on pending claims and assist in gathering required medical records.
Benefit Calculation: Calculate benefit amounts and process payments through the claims system.
Fraud Detection: Identify and flag potential fraudulent activities.
Multitasking: Manage a caseload of active claims and perform end‑to‑end steps.
Attention to Detail: Ensure accuracy and organization in logging, tracking, and reviewing claims.
Collaboration: Work with management and team members to address service issues and concerns.
Empathy: Communicate with claimants with empathy and a willingness to help.
Basic Qualifications
2 years in an analytical role reviewing medical benefits and claims.
2 years of claims adjudication experience, preferably in life and supplemental products (critical illnesses such as cancer, stroke, heart attack, kidney disease).
4 years of experience reviewing and assessing medical records.
Experience articulating claim requirements clearly and concisely.
Minimum high school diploma or GED; college degree preferred.
At least 1 year of experience working from home with proven productivity and quality.
Designated quiet area for completing calls.
Additional Requirements
Required schedule availability for this position is Monday‑Friday 7:00 am to 7:00 pm (Central Time). Overnight and Saturday hours may also be required during the months of November to February.
Must pass a drug screen.
Must pass a background check with education check and employment verification check.
New hire must have a working device (such as a cell phone or tablet) for the 2‑Factor Authentication process.
Remote work requires a dedicated, professional workspace with a permanent, unencumbered location used daily for work.
Minimal distractions; isolated from other household members if possible.
High‑speed internet access of at least 50 Mbps with a hard‑wired ethernet connection. Wi‑Fi, mobile, wireless, and public internet connections are forbidden.
Remote Working and Technology Requirements NTT DATA will provide a computer and headset for remote work. Employees are responsible for the care and security of all equipment provided and must return it immediately upon separation from the company following company protocols. Failure to return equipment may result in collection actions and/or other consequences.
Background and EEO Statements NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form.
NTT DATA endeavors to make 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 [email]. 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 ().
Create a job alert for this search #J-18808-Ljbffr
We are currently seeking a Business Systems Analysis Analyst to join our team in Lincoln, Nebraska.
Position Claims Case Manager
This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short‑ and long‑term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.
Role Overview We are seeking a dedicated Claims Case Manager to provide comprehensive claim servicing to our insurance policyholders. This role involves managing the entire claims process from intake to final decision, ensuring frequent status updates to claimants through their preferred communication channels (email, phone, mail, etc.). The ideal candidate will have a strong analytical skill set, a thorough understanding of the claims process, and the ability to communicate with empathy and detail.
Pay for this Role $23hr
Key Responsibilities
End‑to‑End Claim Management: Handle every aspect of the claim process, from intake to final decision.
Status Updates: Provide frequent updates to claimants through their preferred communication channels.
Document Review: Thoroughly review medical documents, claim forms, and policy notes.
Communication: Interact with claimants with empathy and attention to detail.
Team Collaboration: Work with team members to ensure high‑quality service and resolution of issues.
Record Keeping: Maintain accurate records and reports throughout the claims process.
Data Analysis: Compile and analyze data to identify trends and perform root cause analysis.
Claim Initiation: Gather information and initiate claims through various channels.
Detailed Logging: Log and update pertinent information throughout the claim lifecycle.
Omni‑Channel Correspondence: Communicate required medical records and claim information via email, mail, and phone.
Proactive Follow‑Up: Follow up on pending claims and assist in gathering required medical records.
Benefit Calculation: Calculate benefit amounts and process payments through the claims system.
Fraud Detection: Identify and flag potential fraudulent activities.
Multitasking: Manage a caseload of active claims and perform end‑to‑end steps.
Attention to Detail: Ensure accuracy and organization in logging, tracking, and reviewing claims.
Collaboration: Work with management and team members to address service issues and concerns.
Empathy: Communicate with claimants with empathy and a willingness to help.
Basic Qualifications
2 years in an analytical role reviewing medical benefits and claims.
2 years of claims adjudication experience, preferably in life and supplemental products (critical illnesses such as cancer, stroke, heart attack, kidney disease).
4 years of experience reviewing and assessing medical records.
Experience articulating claim requirements clearly and concisely.
Minimum high school diploma or GED; college degree preferred.
At least 1 year of experience working from home with proven productivity and quality.
Designated quiet area for completing calls.
Additional Requirements
Required schedule availability for this position is Monday‑Friday 7:00 am to 7:00 pm (Central Time). Overnight and Saturday hours may also be required during the months of November to February.
Must pass a drug screen.
Must pass a background check with education check and employment verification check.
New hire must have a working device (such as a cell phone or tablet) for the 2‑Factor Authentication process.
Remote work requires a dedicated, professional workspace with a permanent, unencumbered location used daily for work.
Minimal distractions; isolated from other household members if possible.
High‑speed internet access of at least 50 Mbps with a hard‑wired ethernet connection. Wi‑Fi, mobile, wireless, and public internet connections are forbidden.
Remote Working and Technology Requirements NTT DATA will provide a computer and headset for remote work. Employees are responsible for the care and security of all equipment provided and must return it immediately upon separation from the company following company protocols. Failure to return equipment may result in collection actions and/or other consequences.
Background and EEO Statements NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form.
NTT DATA endeavors to make 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 [email]. 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 ().
Create a job alert for this search #J-18808-Ljbffr