NTT DATA North America · 4 hours ago
HC and Insurance Operations Analyst
Lincoln, NE
Full-time
Remote
Entry, Mid Level
$22/hr - $22/hr
2+ years exp
Maximize your interview chancesConsultingDigital Marketing
Insider Connection @NTT DATA North America
Get 3x more responses when you reach out via email instead of LinkedIn.
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
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
2 years in an analytical role reviewing medical benefits and claims.
2 years of claims adjudication experience, preferably in life, annuity, 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.
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
2023 (185)
2022 (731)
2021 (838)
2020 (1190)
Funding
Current Stage
Late StageLeadership Team
Bob Pryor
Chief Executive Officer
Bonnie Holub
VP Consulting
Recent News
2024-11-29
2024-11-29
2023-12-26
Company data provided by crunchbase
