Insurance Claims Processor Senior Associate
1 month ago
Key Responsibilities:
- Process insurance claims in a timely and qualitative manner
- Meet and exceed production, productivity, and quality goals
- Review medical documents, policy documents, policy history, claims history, system notes, and apply trained client-level business rules to make appropriate claims decisions
- Analyze customer queries to provide timely responses that are detailed and ordered in logical sequencing
- Stay up-to-date on new policies, processes, and procedures impacting claims processing
- Develop and maintain a solid working knowledge of the insurance industry and all products, services, and processes performed by the claims function
- Handle reporting duties as identified by the team manager
- Handle claims processing across multiple products/accounts as per business needs
Requirements:
- Both undergraduate and postgraduate candidates can apply
- Excellent communication (verbal and written) and customer service skills
- Able to work independently; strong analytical skills
- Detail-oriented; ability to organize and multitask
- Ability to make decisions
- Required computer skills: experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications
- Demonstrate strong reading comprehension and writing skills
- Ability to work in a team environment
- Handling different reports - IGO/NIGO and Production/Quality
- To be in a position to handle training for new hires
- Work together with the team to come up with process improvements
- Strictly monitor the performance of all team members and ensure to report in case of any defaulters
- Encourage the team to exceed their assigned targets
Preferred Qualifications:
- 5+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT
- 2+ years of experience in a role that required understanding and interpreting complex documents such as medical records and legal contracts
Work Environment:
The ideal candidate will be flexible to work from home and office environment. Broadband connection is a must while working from home.
About NTT DATA:
NTT DATA is a leading IT services provider that helps clients transform their businesses and societies through innovative and sustainable solutions.
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