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Health Claims Examiner


Ad id: 610170774794751
Views: 3
Date listed 2 weeks ago
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Req ID:7606

At NTT DATA Services, 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 companys 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 Servicesand for the people who work here.

NTT DATAServices currently seeks aHealth Claims Examinerto join our team in Lincoln, Nebraska (US-NE), United States (US).

Insurance Processing Associate - Lincoln, NE

Healthcare Claims Examiners

Role Responsibilities:
- Ability to analyze and process insurance claims transactions, with a strong understanding of Claims processing, utilization of Desk Level Procedures and contract analysis.
- Properly adjudicate claims based on your knowledge of covered benefits, your critical thinking, insurance and provider contracts.
- Experience using Lifesys or similar system preferred.
- Support insurance company client by processing insurance transactions. Add, delete, modify, test data in systems based on client requests.
- Ensures accurate and timely completion of transactions to meet or exceed client Service Level Agreements (SLA).
- Apply Insurance domain knowledge, theoretical concepts etc. to undertake problem solving. Develop and maintain a solid working knowledge of the insurance industry and of all products, services and processes performed by the team.
- Works from standard operating procedures to follow documented processes.
- Apply communication skills to collaborate with management or other team members as appropriate to proactively address service issues and concerns.

- Apply communication skills to request additional information from client, provider, etc and to communicate final determination.

Requirements:
- Must be able to communicate effectively (both verbal and written) and provide professional customer service. Must have the ability to compose, read, analyze, and interpret general business communications.

- Successful candidate must have good keyboarding skills and the ability to become proficient with company software applications/systems.

- Position requires the ability to perform mathematical calculations and the ability to apply mathematical principles to practical situations.

- Position requires the ability to apply common sense to carry out instructions; Ability to apply business rules to varying fact situations and make appropriate decisions; Ability to problem-solve and manage multiple priorities.

- High School education or G.E.D. required.

Preferences:

- Two years prior experience with administration of Health Claims and/or Health insurance policies.

- 2+ years of past customer service oriented experience preferred. Insurance industry or financial services industry customer service experience would be most relevant.

This position is only available to those interested in direct staff employment opportunities with NTT DATA, Inc. or its subsidiaries. Please note, 1099 or corp-2-corp contractors or the equivalent will NOT be considered. We offer a full comprehensive benefits package that starts from your first day of employment.

About NTT DATA Services

NTT DATA Services partners with clients to navigate and simplify the modern complexities of business and technology, delivering the insights, solutions and outcomes that matter most. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services.

NTT DATA Services, headquartered in Plano, Texas, is a division of NTT DATA Corporation, a top 10 global business and IT services provider with 100,000+ professionals in more than 50 countries, and NTT Group, a partner to 85 percent of the Fortune 100. Visit (link removed) to learn more.

NTT DATA, Inc. (the Company) is an equal opportunity employer and makes employment decisions on the basis of merit and business needs. The Company will consider all qualified applicants for employment without regard to race, color, religious creed, citizenship, national origin, ancestry, age, sex, sexual orientation, genetic information, physical or mental disability, veteran or marital status, or any other class protected by law. To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship to the Company would result.

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or contact us at bp+21986711@jobvertise.com

 
 
 
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Last Updated on: October 24, 2017
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