BPO HC & Insurance Operations Senior
- NTT Global Delivery
- 3 to 6 Yrs
- Coimbatore
- 4 years ago
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Job Description
Req ID:149022
NTT DATA Services 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 BPO HC & Insurance Operations Senior Representative to join our team in Coimbatore, Tamil N du (IN-TN), India (IN).
NTT Data Services is Hiring!
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.
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.
About NTT DATA Services
NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.
NTT DATA Services is an equal opportunity employer and will consider all qualified applicants for employment without regard to race, gender, disability, age, veteran-status, sexual orientation, gender identity, or any other class protected by law. To learn more, please visit https://us.nttdata.com/en/about-us/content/diversity-and-inclusion . Furthermore, NTT DATA Services will make accommodations for eligible applicants on a case-by-case basis. Please email EE*******r@nt****a.com for assistance.
Job Segment: Consulting, Cloud, Data Entry, Technology, Administrative
Employement Category:
Employement Type: Full timeIndustry: IT - SoftwareRole Category: IT Operations / EDP / MISFunctional Area: Not ApplicableRole/Responsibilies: BPO HC & Insurance Operations SeniorContact Details:
Company: NTT Global DeliveryLocation(s): Coimbatore
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