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BPO Health Care and Insurance Operations Senior Associate

NTT DATA, Inc.
Lincoln, NE, United States
$18,5 an hour
Full-time

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 transactionsAbility 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 / hrShift 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.

7 hours ago
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