Health Insurance Claims Processor

Claims Processor

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. For more than 25 years, NTT DATA Services have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.

NTT DATA Services currently seeks a Claims Processor to join our team in Chicago, IL.

Role Responsibilities

Process and adjudicate health, dental, and vision insurance claims with precision and efficiency.

Perform quality assurance reviews of auto-adjudicated claims to ensure accuracy and identify areas for improvement.

Analyze claim documentation to ensure accuracy, completeness, and compliance with plan benefits.

Collaborate with our technology team to identify patterns and opportunities for automation.

Share claims processing expertise with team members and contribute to knowledge base development.

Document best practices and unusual case resolutions that inform our AI systems.

Participate in the continuous improvement of our claims processing workflows.

Break down complex decision-making into clear, logical steps that can inform automation strategies.

Required Skills / Experience

5+ years of health insurance claims processing including experience working with complex claims.

5+ years of experience working with billing codes, plan coverages, coordination of benefits.

High School Diploma or GED.

Preferences

Background in benefits administration or medical billing.

History of implementing process improvements in claims operations.

Experience with multiple claims processing software systems.

Strong proficiency with spreadsheet software (Excel, Google Sheets).

Track record of effective knowledge transfer and documentation.

Experience creating detailed process documentation.

Interest in AI and its applications in healthcare and insurance.

Benefits

About NTT DATA Services : NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success.

NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team. Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is ($20 - $24 / hourly). This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.