Claims processing

JOB DESCRIPTION

Req ID :  349391

We are currently seeking a Claims processing to join our team in Plano, Texas (US-TX), United States (US).

Position's General Duties and Tasks

In these roles you will be responsible for :

Review and process insurance claims.

Validate Member, Provider and other Claim’s information.

Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure.

Coordination of Claim Benefits based on the Policy & Procedure.

Maintain productivity goals, quality standards and aging timeframes.

Scrutinizing Medical Claim Documents and settlements.

Organizing and completing tasks per assigned priorities.

Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team

Resolving complex situations following pre-established guidelines

About NTT DATA

NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D.