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HC & Insurance Operations Associate @ NTT Data

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 HC & Insurance Operations Associate

Job Description


Job Responsibilities:
  • Review claim rules and workflows
  • Reviews claim requests to determine eligibility for processing and escalate to management on a case to case basis
  • 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

Desired Skills & Qualification:
  • University degree or equivalent that required 3+ years of formal studies
  • 2 + years of experience processing claims for the US healthcare market
  • Ability to understand logic of standard Payment posting (i.e. Payment, Denials, Adjustments etc.)
  • 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.
  • 1+ year(s) of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product.
  • Ability to work scheduled shifts from Monday-Friday 07:30 PM to 05:30 AM and to be flexible to accommodate business requirements

Ability to communicate (oral/written) effectively in English to exchange information with our client.

Employement Category:

Employement Type: Full time
Industry: IT
Functional Area: IT
Role Category: Software Engineer
Role/Responsibilies: HC & Insurance Operations Associate

Contact Details:

Company: NTT Data
Location(s): Coimbatore ,  India

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NTT Data

The Company NTT DATA Services is a top 10 global services company and part of the NTT Group, a Fortune 29 telecommunications and services company based in Japan. We operate with 60,000 professionals in 36 countries. Every day around the world we help clients explore new ways to respond to market...