HC and Insurance Operations Analyst

Claims Case Manager

NTT DATA strives to hire exceptional, innovative, and passionate individuals 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 seeking a HC and Insurance Operations Analyst to join our team.

Role Overview : We are seeking a dedicated Claims Case Manager to provide comprehensive claim servicing to our insurance policyholders. This role involves managing the entire claims process from intake to final decision, ensuring frequent status updates to claimants through their preferred communication channels (email, phone, mail, etc.). The ideal candidate will have a strong analytical skill set, a thorough understanding of the claims process, and the ability to communicate with empathy and detail.

Pay for this Role $22hr

Key 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.

Basic Qualifications :

Responsibilities :

If you are passionate about delivering exceptional customer service and have the required qualifications, we encourage you to apply for this rewarding opportunity.

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.

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.

Remote Working and Technology Requirements

To work remote, individuals must meet all the established Remote requirements including those pertaining to a home workspace and related technology.

Technology

Technical Performance and Issue Tracking

Remote Workspace

Remote work demands a high degree of professionalism, self-discipline, and accountability. The following workspace standards are vital to delivering exceptional service.