Insurance Operations Associate Specialist
5 days ago
Overview:
NTT DATA is a leading IT services provider dedicated to delivering innovative solutions that transform businesses. We are currently seeking a skilled Insurance Operations Associate Specialist to join our team.
About the Role:
In this role, you will be responsible for processing claims adjudication and adjustment processes with accuracy and efficiency. You will work closely with our clients to ensure timely completion of transactions and meet or exceed their Service Level Agreements (SLAs).
Responsibilities:
- Process and resolve claims in a timely manner while meeting client SLAs
- Analyze complex situations and make informed decisions following established guidelines
- Maintain a thorough understanding of healthcare insurance policy concepts, including in-network and out-of-network providers, deductibles, coinsurance, copays, and out-of-pocket maximums
Qualifications:
- 1-3 years of experience in claims adjudication and adjustment process
- Strong analytical and problem-solving skills
- Excellent communication and writing skills
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