Job title: HC & Insurance Operations Senior Rep
Company: NTT Data
Job description: NTT DATA Services strives to hire exceptional, innovative and passionate people 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 looking for a [[HC & INSURANCE OPERATIONS SENIOR REP]]to join our team in [[Coimbatore]] [[Tamil Nadu]] [[India]].
In this role, you will be responsible for
Review and process insurance claims.
Validate member, vendor, and other claims information.
Determine specific payment criteria for clearing pending claims based on defined policy and procedure.
Coordination of claims services according to policy and procedure.
Maintain productivity goals, quality standards and aging times.
Review of medical claim documents and regulations.
Organize and accomplish tasks according to assigned priorities.
Develop and maintain a solid working knowledge of the Medicare industry and all of the products, services and processes performed by Tea
Resolve complex situations according to pre-established guidelines
The requirements for this role include:
University degree or equivalent requiring formal studies of the English language and basic mathematics
6 months + Year of experience where you had to apply business rules to various factual situations and make appropriate decisions
6 months + Year of experience in data entry requiring careful attention to quality, including attention to detail, accuracy and accountability of your work product.
Over 6 months of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
More than 6 months of experience requiring you to prioritize your workload to meet deadlines
** The availability of the required schedule for this position is Monday to Friday 6:00 p.m. to 4:00 a.m. IST. Shift schedules can be changed according to customer requirements. Additionally, resources may have to work overtime and work according to basic weekend business needs.
About NTT DATA services
NTT DATA Services is a global provider of business and IT services specializing in digital, cloud and automation through a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, an 85% partner of the Fortune 100.
NTT DATA Services is an Equal Opportunity Employer and will consider all qualified applicants for employment regardless of race, gender, disability, age, veteran status, sexual orientation, gender identity or any other category protected by law. To learn more, please visit. In addition, NTT DATA Services will make accommodations for eligible applicants on a case-by-case basis. Please email for assistance.
Location: Coimbatore, Tamil Nadu
Job date: Wed, 06 Oct 2021 07:55:24 GMT
Apply for the job now!