Insurance Claims Analyst

With people at the heart of our success, NTT DATA is committed to attracting and growing the best talent and providing an environment where everyone feels they can belong and their contribution matters. It's our belief in possibility that drives us, but it's our people that make it happen. At NTT DATA, what you do matters.

A Career at NTT DATA Means:

• Having ongoing opportunities to GROW your career- we offer barrier-free learning with multiple self-learning tools available.
• Being part of a global organization where you can BELONG - in an inclusive working environment where you are free to be your best self. We're committed to building a people-focused environment where you can shine, no matter who you are.
• Belonging to a team where you can make a DIFFERENCE - to your clients, colleagues, and communities. Your ideas are embraced, impactful, and keep us agile.
• Being part of a global PIONEER - where you gain exposure to our Fortune 500 clients and world-leading global technology partners and work with a network of over 40,000 smart and diverse colleagues across 57 countries, delivering services in over 200 countries.

Position Overview:

The Claims Analyst is responsible to competently and efficiently adjudicate health and/or dental claims using a specific claims processing system developed by the client. Additional accountabilities include maintaining departmental and client expectations as outlined in the service level agreement, adhere to all corporate/regional policies and procedures, maintain turnaround time and quality of processing, and abide by assigned work schedule.

• Position: Claims Analyst
• Position Status: Remote - Full Time
• Hours of Work: Saturday - Wednesday 8:00am - 8:00pm EST
• Department: Back Office
• Rate of Pay (NS, NB, PEI, QC, MB): $17.00/Hr (English) - $19.00/Hr Bilingual (French/English)
• Rate of Pay (ON): $19.35/Hr (English) - $19.90/Hr Bilingual (French/English)

Responsibilities:

• Analyze historical data and assess relevant group policy and/or provincial guidelines to adjudicate claims related to Dental, Para-Medical, Hospital, and Drug benefit types.
• Determine applicable insurance benefit payout for each claim as required.
• Demonstrate good judgement and confidence with respect to adjudication decisions
• Ensure daily production meets the set standards of 100%, above required data entry/adjudication targets as outlined.
• Ensure daily accuracy rates meet company standards as per the departmental contract
• Work as a team player to ensure daily targets are achieved
• Maintain accurate and complete record keeping and reporting as required
• Support the Trainer in areas of Floor Support, and assistance with employee enquiries as required
• Adhere to all corporate and client confidentiality agreements and policies
• Work in a co-operative, courteous and supportive manner at all times.

Requirements:

• Minimum data entry speed of 8,000 keystrokes per hour, minimum Accuracy Rate of 99%.
• Ability to analyze data and make informed decisions
• Ability to recognize errors and undertake corrective processes
• Dependable and dedicated with strong work ethics
• Detail-oriented, multi-tasker
• Act as a SWAT team member by attending client conference calls as needed
• Ability to support and relay relevant information to coworkers
• Ability to perform under stressful conditions such as directional changes, tight deadlines, and limited resources
• Work patiently and effectively with team deadlines, structures, and peers

This job posting is for future vacancies. Applications are screened with AI technology and reviewed by NTT DATA recruiters.

Inclusion. Belonging.

Unleashing the power of being unique.

We are committed to providing an environment free of unfair discrimination and harassment. We do not discriminate based on age, race, color, sex, religion, national origin, disability, pregnancy, marital status, sexual orientation, gender reassignment, veteran status, or other protected category.

At NTT DATA what you do matters. Because here YOU can.