Senior Representative - Insurance Operations
Found in: Talent IN
Description:At NTT DATA we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company’s growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA Services and for the people who work here. In this Role you will be Responsible For - Review and process insurance claims. - Validate Member, Provider and other Claims 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 tea - Resolving complex situations following pre-established guidelines Requirements for this role include: - 0 -1 year of experience in any Healthcare BPO - University degree or equivalent that required 3+ years of formal studies - 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. - Ability to work scheduled shifts from Monday-Friday7:30 AM to 5:30 PM (weekend’s if required) and to be flexible to accommodate extra hours due to business requirements - Ability to communicate (oral/written) effectively in English to exchange information with our client. This position is only available to those interested in direct staff employment opportunities with NTT DATA, Inc. or its subsidiaries. Please note, 1099 or corp-2-corp contractors or the equivalent will NOT be considered. We offer a full comprehensive benefits package that starts from your first day of employment.
calendar_today5 days ago