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Claims Examiner at NTT DATA

Plano, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

12 Jan, 26

Salary

0.0

Posted On

14 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Processing, Research, Analysis, Problem-Solving, Time Management, Communication, MS Office, Windows Applications, Troubleshooting, Professional Claims, Adjudication, Workflow Guidelines, Remote Work, Queue Management, Software Tools, Effective Communication

Industry

IT Services and IT Consulting

Description

Processing of Professional claim forms files by provider Work independently to research, review and act on the claims Ensure claims are adjudicated as per clients defined workflows, guidelines 1-3 year(s) hands-on experience in Healthcare Claims Processing 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools High school diploma or GED. Previously performing - in P&Q work environment; work from queue; remotely Toggling back and forth between screens/can you navigate multiple systems. Working knowledge of MS office products - Outlook, MS Word and MS-Excel. Must be able to work 7am - 4 pm CST online/remote (training is required on-camera). Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities Time management with the ability to cope in a complex, changing environment Ability to communicate (oral/written) effectively in a professional office setting

Responsibilities

The Claims Examiner is responsible for processing professional claim forms and ensuring claims are adjudicated according to defined workflows and guidelines. This role requires independent research and review of claims.