Insurance Claims Analyst - Remote jobs in United States
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NTT DATA North America · 1 week ago

Insurance Claims Analyst - Remote

NTT DATA North America is committed to attracting and growing the best talent in a people-focused environment. The Claims Analyst is responsible for adjudicating health and dental claims efficiently while maintaining departmental standards and adhering to corporate policies.

ConsultingDigital MarketingInformation ServicesInformation TechnologyIT Management

Responsibilities

Analyze historical data and assess relevant group policy and/or provincial guidelines to adjudicate claims related to Dental, Para-Medical, Hospital, and Drug benefit types
Determine applicable insurance benefit payout for each claim as required
Demonstrate good judgement and confidence with respect to adjudication decisions
Ensure daily production meets the set standards of 100%, above required data entry/adjudication targets as outlined
Ensure daily accuracy rates meet company standards as per the departmental contract
Work as a team player to ensure daily targets are achieved
Maintain accurate and complete record keeping and reporting as required
Support the Trainer in areas of Floor Support, and assistance with employee enquiries as required
Adhere to all corporate and client confidentiality agreements and policies
Work in a co-operative, courteous and supportive manner at all times

Qualification

Claims processing systemData analysisData entry speedAttention to detailWork ethicsMulti-taskTeam player

Required

Minimum data entry speed of 8,000 keystrokes per hour, minimum Accuracy Rate of 99%
Ability to analyze data and make informed decisions
Ability to recognize errors and undertake corrective processes
Dependable and dedicated with strong work ethics
Detail-oriented, multi-tasker
Act as a SWAT team member by attending client conference calls as needed
Ability to support and relay relevant information to coworkers
Ability to perform under stressful conditions such as directional changes, tight deadlines, and limited resources
Work patiently and effectively with team deadlines, structures, and peers

Company

NTT DATA North America

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NTT DATA, Inc. is a trusted global innovator of business and technology services.