Insurance Claims Analyst

4 days ago

Halifax, Nova Scotia, Canada NTT DATA Full time

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. 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

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