HC and Insurance Operations Analyst
- NTT Global Delivery
- 5 to 6 Yrs
- Coimbatore
- 4 years ago
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Job Description
Req ID:151036
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 HC and Insurance Operations Analyst to join our team in Coimbatore, Tamil N du (IN-TN), India (IN).
In this Role you will be Responsible For
- Configuration of new benefit plans in the client system
- Installation of Groups and Rates in the system
- Maintenance of benefit plans and rates.
- Ensuring accurate and timely completion of configuration to meet or exceed client SLAs.
- Processing daily volume of groups installations and maintenance.
- 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
- 5+ years of Benefit Configuration experience that required you to review group rules and workflows.
- 5+ years of experience in the US Healthcare market that required a working knowledge of HCPCS, ICD and CPT codes
- 5+ years of experience that required a knowledge of healthcare insurance policy concepts including In Network, Out of Network providers, Deductible, Coinsurance, Co-pay, Out of Pocket, Maximum inside limits and Exclusions, State Variations.
**Required schedule availability for this position is Monday-Friday 6PM/4AM 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, Technology
Employement Category:
Employement Type: Full timeIndustry: IT - SoftwareRole Category: Operations Management / Process AnalysisFunctional Area: Not ApplicableRole/Responsibilies: HC and Insurance Operations AnalystContact Details:
Company: NTT Global DeliveryLocation(s): Coimbatore
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