NTT DATA North America · 1 week ago
HC and Insurance Operations Analyst
United States
Full-time
Remote
Mid Level
$22/hr - $22/hr
4+ years expNTT DATA North America is a leading business and technology services provider, and they are seeking a HC and Insurance Operations Analyst. This role involves managing the entire claims process for insurance policyholders, providing updates, and ensuring high-quality service throughout the claims lifecycle.
ConsultingDigital MarketingInformation ServicesInformation TechnologyIT Management
Responsibilities
End-to-End Claim Management: Handle every aspect of the claim process, from intake to final decision
Status Updates: Provide frequent updates to claimants through their preferred communication channels
Document Review: Thoroughly review medical documents, claim forms, and policy notes
Communication: Interact with claimants with empathy and attention to detail
Team Collaboration: Work with team members to ensure high-quality service and resolution of issues
Record Keeping: Maintain accurate records and reports throughout the claims process
Data Analysis: Compile and analyze data to identify trends and perform root cause analysis
Claim Initiation: Gather information and initiate claims through various channels
Detailed Logging: Log and update pertinent information throughout the claim lifecycle
Omni-Channel Correspondence: Communicate required medical records and claim information via email, mail, and phone
Proactive Follow-Up: Follow up on pending claims and assist in gathering required medical records
Benefit Calculation: Calculate benefit amounts and process payments through the claims system
Fraud Detection: Identify and flag potential fraudulent activities
Multitasking: Manage a caseload of active claims and perform end-to-end steps
Attention to Detail: Ensure accuracy and organization in logging, tracking, and reviewing claims
Collaboration: Work with management and team members to address service issues and concerns
Empathy: Communicate with claimants with empathy and a willingness to help
Qualification
Required
Must live in the Continental United States
2 years in an analytical role reviewing medical benefits and claims
2 years of claims adjudication experience, preferably in life, and supplemental products (e.g., critical illnesses such as cancer, stroke, heart attack, kidney disease)
4 years of experience reviewing and assessing medical records
Experience articulating claim requirements clearly and concisely
Minimum high school diploma or GED
At least 1 year of experience working from home with proven productivity and quality
Designated quiet area for completing calls
Required schedule availability for this position is between Monday-Friday 7:00 am to 7:00 pm (Central Time), OT during evenings and Saturdays could also be required based on business need, particularly during the months of Nov – Feb
New hire must have a working device (such as cell phone or tablet) for the 2-Factor Authentication process
Must Pass Drug screen
Must Pass a background check with Education check and employment verification check
To work remote, individuals must meet all the established Remote requirements including those pertaining to a home workspace and related technology
Employees are responsible for the care and security of all equipment provided. They must return it immediately upon separation from the company following company protocols
Individuals must provide their own high speed internet access with speeds at or above 50 Mbps
A hard-wired ethernet connection is required. Wi-Fi, mobile, wireless and public internet connections are forbidden as are connections outside of one's personal dwelling or location
Management monitors all technical issues and agent downtime. Consistent availability is critical to business operations
Remote employees must adhere to all technical support procedures and protocols
Chronic connectivity issues or recurring downtime that impede job performance, including internet outages, may result in the remote status changing to onsite
Employees must have a dedicated, professional workspace conducive to servicing Customer Service customers with the same quality as an onsite environment
The workspace must be a permanent, unencumbered location used daily for work
Employees must work with minimal distractions that do not interfere with business operations or service delivery
Ideally, the workspace is isolated from other household members and used exclusively for job duties
Background noise, interruptions from people or pets, and other distractions must be kept to an absolute minimum to avoid disruptions to customer service
Employees must work from the same location consistently unless prior approval is obtained
If a change in work location is necessary, the new location must meet all Remote Workspace and Technology Requirements
Notification to NTT DATA Management is required before relocating
Preferred
College degree preferred
Any state specific certification related to performing the job duties shall be sponsored by the company and successful completion of the certification program is desired
Benefits
Medical, dental, and vision insurance with an employer contribution
Flexible spending or health savings account
Life and AD&D insurance
Short- and long-term disability coverage
Paid time off
Employee assistance
Participation in a 401k program with company match
Additional voluntary or legally required benefits
Company
NTT DATA North America
NTT DATA, Inc. is a trusted global innovator of business and technology services.
10001+ employees
H1B Sponsorship
NTT DATA North America has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (144)
2024 (182)
2023 (257)
2022 (871)
2021 (809)
2020 (1266)
Funding
Current Stage
Late StageLeadership Team
John Barr
Vice President - Insurance Strategy
Recent News
2025-12-05
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