MyPage is a personalized page based on your interests.The page is customized to help you to find content that matters you the most.


I'm not curious

Claims Adjudicators Senior Associate

Location Coimbatore, India
Posted 15-November-2018
Description
At NTT DATA Services, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our companys growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA Services and for the people who work here.


NTT DATA Services currently seeks a Claims Adjudicators Senior Associate to join our team in Coimbatore, Tamil Ndu (IN-TN), India (IN).


In this Role you will be Responsible For

Reviewing and researching insurance claims to determine possible payment accuracy.
Validating Member, Provider and other Claims information.
Determining accurate payment criteria for clearing pending claims based on defined Policy and Procedure.
Coordinating Claim Benefits based on the Policy & Procedure.
Maintaining productivity goals, quality standards and aging timeframes.
Scrutinizing Medical Claim Documents and settlements.

.

Requirements for this role include:


University degree or equivalent that required formal studies of the English language and basic Math
3years of Claims Adjudication experience that required you to review claims rules and workflows.
3years of experience in the US Healthcare market that required a working knowledge of HCPCS, ICD and CPT codes
3years of experience that required a knowledge of healthcare insurance policy concepts including In Network, Out of Network providers, Deductible, Coinsurance, Co-pay, Out of Pocket, Maximum inside limits and Exclusions, State Variations.


**Required schedule availability for this position is Monday-Friday 6PM/4AM IST The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement.


This position is only available to those interested in direct staff employment opportunities with NTT DATA, Inc. or its subsidiaries. Please note, 1099 or corp-2-corp contractors or the equivalent will NOT be considered. We offer a full comprehensive benefits package that starts from your first day of employment.


About NTT DATA Services


NTT DATA Services partners with clients to navigate and simplify the modern complexities of business and technology, delivering the insights, solutions and outcomes that matter most. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services.


NTT DATA Services, headquartered in Plano, Texas, is a division of NTT DATA Corporation, a top 10 global business and IT services provider with 100,000professionals in more than 50 countries, and NTT Group, a partner to 85 percent of the Fortune 100. Visit nttdataservices.com to learn more.


NTT DATA, Inc. (the Company) is an equal opportunity employer and makes employment decisions on the basis of merit and business needs. The Company will consider all qualified applicants for employment without regard to race, color, religious creed, citizenship, national origin, ancestry, age, sex, sexual orientation, genetic information, physical or mental disability, veteran or marital status, or any other class protected by law. To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship to the Company would result.


Job Segment: Consulting, Technology
Experience
Min 3 to 6 Years.

 
Awards & Accolades for MyTechLogy
Winner of
REDHERRING
Top 100 Asia
Finalist at SiTF Awards 2014 under the category Best Social & Community Product
Finalist at HR Vendor of the Year 2015 Awards under the category Best Learning Management System
Finalist at HR Vendor of the Year 2015 Awards under the category Best Talent Management Software
Hidden Image Url

Back to Top