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HC & Insurance Operations Associate

2 months ago

Providence, United States NTT DATA Services Full time

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 a BPO HC & Insurance Senior Associate to join our team in Providence Rhode Island.

 

Client's business problem to solve?

 

Our Client is one of Leading Health Plan in US providing services in Rhode Island. NTT is 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:

 

  1. Answering members inbound calls regarding verification of health insurance benefits, eligibility and claim status.
  2. Supporting less experienced team members and handling escalated issues.
  3. Interacting with clients and internal departments to solve issues.
  4. Organizing and completing tasks according to assigned priorities.
  5. Strong focus on quality including attention to detail, accuracy, and accountability.
  6. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team.

Requirements for this role include:

High school Diploma or equivalent.

Undergraduate degree or some college coursework preferred.

3+ year experience in customer service.

3+ years of experience that required a knowledge of healthcare insurance policy concepts.

3+ year of experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers.

3+ years of experience using a computer with Windows PC applications.
Strong analytical / problem solving skills.

 

Required schedule availability for this position is Monday-Friday (08:00am to 08:00pm EST) and Saturday (08:00am to 12:00pm EST).  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.