BPO Health Care and Insurance Operations Senior Associate
1 month ago
Job Description
Req ID: 259801
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 Health Care and Insurance Operations Senior Associate to join our team in Lincoln, Nebraska (US-NE), United States (US).
BPO Life Insurance Claims Processor
.
Basic Requirements
-2 years life insurance claims processing -1 year Microsoft Office Suite experience
-1 years multi-level stakeholder communication
Responsibilities
Identifies and resolves issues around pending transactions Ability to analyze reasons behind incomplete transactions
Understands process interdependencies
Check for completeness and appropriateness of source data
To perform initial fact finding, information search and data gathering
Identify and resolve routine and recurring claim transactions
Maintain current knowledge of CMS compliance requirements as they pertain to Medicare Advantage claim adjudication
Research incomplete and missing information by utilizing several internal systems
Interpret and apply desk level procedures to accurately adjudicate claims data
Identify complex or out of compliance cases for escalation calls
Hours of operation: M-F 8am to 5pm CST
$18.50/hr Shift times may be changed as per client requirements. Additionally, Overtime may be required based on business requirements.
About NTT DATA Services
NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients’ long-term success. Visit nttdata.com or LinkedIn to learn more.
NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
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