Operationa Analyst - Claims Adjudication @ NTT Data Information

Job Description

"Positions General Duties and Tasks:
   Process Insurance Claims timely and qualitatively
   Meet & Exceed Production, Productivity and Quality goals     Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities
    Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing
    Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills
    Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing
    Continuous learning to ramp up on the knowledge curve to be the SME and to be compliant with any certification as required to perform the job
    Be a team player and work seamlessly with other team members on meeting customer goals
    Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function
    Handle reporting duties as identified by the team manager
    Handle claims processing across multiple products/accounts as per the needs of the business
    Contribute effectively to process improvements that would improve Quality, Productivity & Customer Experience
    Actively engage on strategic initiatives as identified by the team manager

Requirements for this role include:
    Both Under Graduates and Post Graduates can apply.
    Excellent communication (verbal and written) and customer service skills.     Able to work independently; strong analytic skills.
    Detail-oriented; ability to organize and multi-task.
    Ability to make decisions.
    Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications.
    Demonstrate strong reading comprehension and writing skills.
    Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills.
    Ability to work in a team environment.
    Handling different Reports - IGO/NIGO and Production/Quality.
    To be in a position to handle training for new hires
    Work together with the team to come up with process improvements
    Strictly monitor the performance of all team members and ensure to report in case of any defaulters.
    Encourage the team to exceed their assigned targets.

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Keyskills:   ub04 ub92 hcfa health care services claims auditing claims adjudication