HC & Insurance Operations Processing Sr Rep

NTT DATA, Inc.

Coimbatore District

On-site

INR 260,000 - 420,000

Full time

6 days ago
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Job summary

NTT DATA Services in Coimbatore is seeking a Sr Rep for HC & Insurance Operations. The role involves reviewing and processing insurance claims, validating information, and determining accurate payments according to policy.

You will coordinate benefits, maintain productivity and quality standards, and handle complex cases within defined guidelines. Requirements include a university degree with English and basic Math, 6+ months data entry and claims experience, proficiency with Windows

Qualifications

  • University degree with English and basic Math.
  • 6+ months applying business rules to varying fact situations.
  • 6+ months data entry with emphasis on accuracy.
  • 6+ months experience using Windows PC apps.
  • 6+ months experience prioritizing workload to meet deadlines.
  • Strong English communication (oral/written).
  • Commerce graduate with English as a compulsory subject.

Responsibilities

  • Review and process insurance claims.
  • Validate member, provider and other claim information.
  • Determine accurate payment criteria per policy.
  • Coordinate claim benefits per policy and procedure.
  • Maintain productivity, quality standards and aging timeframes.
  • Scrutinize medical claim documents and settlements.
  • Organize and complete tasks per priorities.
  • Develop knowledge of healthcare insurance processes.
  • Resolve complex situations per pre-established guidelines.

Skills

English proficiency
Communication skills
Attention to detail
Time management
Prioritization

Education

University degree or equivalent (English & basic Math)
Commerce graduate with English

Tools

Windows PC applications

Job description

Select how often (in days) to receive an alert: Create Alert

HC & Insurance Operations Processing Sr Rep

Date: Oct 8, 2026

Company: NTT DATA Services

NTT Data Services is Hiring!

Grade 3 - HC & Insurance Operations Sr Rep
Position's Overview
At NTT DATA, 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 company’s 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 and for the people who work here.
NTT DATA, Inc. currently seeks an “BPO HC & Insurance Operations Sr Rep” to join our team in “Coimbatore”.

Client's business problem to solve?

Our Client is one of Leading Health Plan in US providing services in Florida state, NTT are getting into contract with Client to manage End to End Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction

Position's General Duties and Tasks

In these roles you will be responsible for:

  • Review and process insurance claims.
  • Validate Member, Provider and other Claim’s information.
  • Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure.
  • Coordination of Claim Benefits based on the Policy & Procedure.
  • Maintain productivity goals, quality standards and aging timeframes.
  • Scrutinizing Medical Claim Documents and settlements.
  • Organizing and completing tasks per assigned priorities.
  • Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
  • Resolving complex situations following pre-established guidelines
Requirements for this role include:
  • University degree or equivalent that required formal studies of the English language and basic Math
  • 6+ months of experience where you had to apply business rules to varying fact situations and make appropriate decisions
  • 6+ months of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product.
  • 6+ months of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
  • 6+ months of experience that required prioritizing your workload to meet deadlines
  • Ability to communicate (oral/written) effectively to exchange information with our client.
  • Commerce graduate with English as a compulsory subject

Preferences: - Optional (nice-to-have’s)

Required schedule availability for this position is Monday-Friday (06:00pm to 04:00am IST). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.

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