Life Insurance Claims Quality Analyst – Lean Six Sigma

NTT DATA, Inc.

Manila

On-site

PHP 420,000 - 660,000

Full time

12 days ago

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Job summary

NTT DATA, Inc. is seeking a transactional quality auditor to review claims processes and ensure accurate decisions. You will analyze medical and policy documents, flag fraud indicators, and provide actionable feedback to claims processors.

The role requires 3–5 years in quality or MIS within Life Insurance, and a strong grasp of process redesign, gap analysis, and change management. Office-based roles in Manila with potential overtime.

Qualifications

Minimum 3–5 years of experience as a Transactional Quality Auditor/MIS specialist/Quality associate involved in basic quality framework elements.
Experience with Life Insurance Claims and Policy Administration.
Strong understanding of claims business process redesign/reengineering, gap analysis, functional vs technical specs, and change management.

Responsibilities

Review medical and policy documents, claims history, and system notes to ensure correct claims decisions.
Identify trends, flag fraud activities, and provide feedback to claims processors.
Develop and maintain knowledge of the insurance claims domain and related processes.
Perform functional analysis of processes and create process/value stream maps for current and new processes.
Assist in establishing standard operating procedures and knowledge transfer docs.
Collaborate with team members to meet customer goals.