HC * Insurance Operations Associate

NTT DATA North America; Kansas City (KS); On-site; USD 20,000 - 29,000; Full time

Job summary

NTT DATA North America seeks an Insurance Operations Associate to review and adjudicate claims from its Kansas City, KS site. The role focuses on determining eligibility, coverage, and payment accuracy while interpreting policy language and regulatory requirements.

The candidate will analyze documentation, identify discrepancies, and communicate decisions clearly to customers and providers while ensuring SLAs are met. Remote work is supported with required technology and privacy compliance.

Qualifications

• 6 Months of experience in claims adjudication, insurance operations, or related roles
• Experience in healthcare, disability, life, auto, or property & casualty claims (preferred, role dependent)
• 6 Months of Work from home environment
• High school diploma or GED Preferences.

Responsibilities

• Review and adjudicate insurance claims to determine eligibility, coverage, and payment accuracy
• Interpret policy language, benefits schedules, and governing regulations to ensure correct claim outcomes
• Analyze claim documentation and supporting materials to verify completeness and accuracy
• Identify discrepancies, missing information, or potential fraud and take appropriate action
• Communicate claim decisions clearly to customers, providers, and internal stakeholders
• Ensure claims are processed within defined service level agreements (SLAs)
• Maintain accurate claim records and documentation in claims processing systems
• Collaborate with quality, compliance, and audit teams to support continuous improvement
• Strong attention to detail and analytical skills
• Solid understanding of insurance policies, benefits, and claims procedures
• Ability to interpret complex regulations and contractual language
• Effective written and verbal communication skills
• Ability to manage high claim volumes in a fast-paced environment
• Proficiency with claims processing systems and Microsoft Office tools
• Strong problem-solving and decision-making abilities
• Adhere to privacy, confidentiality, and regulatory standards at all times
• New hire must have a working device (such as cell phone or tablet) for the 2-Factor Authentication process
• Must Pass Drug screen
• Must Pass a background check with Education check and employment verification check.
• Required schedule availability for this position is Monday-Friday 6:00 am ct to 6:00 pm (Central Time)

Skills

Claims adjudication

Healthcare claims

Remote work

Communication skills

Education

High school diploma or GED

Tools

Claims processing systems

Microsoft Office

Job description

Req ID: 382568

NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization.

We are currently seeking a HC * Insurance Operations Associate to join our team in Kansas City, Kansas (US-KS), United States (US).

This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short- and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.

Must Live in Continental United States.

Pay for this role is $18.00hr

Basic Qualifications:

• 6 Months of experience in claims adjudication, insurance operations, or related roles
• Experience in healthcare, disability, life, auto, or property & casualty claims (preferred, role dependent)
• 6 Months of Work from home environment
• High school diploma or GED Preferences.

Responsibilities:

• Review and adjudicate insurance claims to determine eligibility, coverage, and payment accuracy
• Interpret policy language, benefits schedules, and governing regulations to ensure correct claim outcomes
• Analyze claim documentation and supporting materials to verify completeness and accuracy
• Identify discrepancies, missing information, or potential fraud and take appropriate action
• Communicate claim decisions clearly to customers, providers, and internal stakeholders
• Ensure claims are processed within defined service level agreements (SLAs)
• Maintain accurate claim records and documentation in claims processing systems
• Collaborate with quality, compliance, and audit teams to support continuous improvement
• Strong attention to detail and analytical skills
• Solid understanding of insurance policies, benefits, and claims procedures
• Ability to interpret complex regulations and contractual language
• Effective written and verbal communication skills
• Ability to manage high claim volumes in a fast-paced environment
• Proficiency with claims processing systems and Microsoft Office tools
• Strong problem-solving and decision-making abilities

Adhere to privacy, confidentiality, and regulatory standards at all times

New hire must have a working device (such as cell phone or tablet) for the 2-Factor Authentication process

Must Pass Drug screen

Must Pass a background check with Education check and employment verification check.

Required schedule availability for this position is Monday-Friday 6:00 am ct to 6:00 pm (Central Time),

Remote Working And Technology Requirements

To work remote, individuals must meet all the established Remote requirements including those pertaining to a home workspace and related technology.

Technology

• NTT DATA will provide a computer and headset for remote work.
• Employees are responsible for the care and security of all equipment provided. They must return it immediately upon separation from the company following company protocols.
• Failure to return equipment may result in collection actions and/or other consequences.
• Individuals must provide their own high speed internet access with speeds at or above 50 Mbps.
• A hard-wired ethernet connection is required. Wi-Fi, mobile, wireless and public internet connections are forbidden as are connections outside of one’s personal dwelling or location.

Technical Performance and Issue Tracking

• Management monitors all technical issues and agent downtime. Consistent availability is critical to business operations.
• Remote employees must adhere to all technical support procedures and protocols.
• Chronic connectivity issues or recurring downtime that impede job performance, including internet outages, may result in the remote status changing to onsite.

Remote Workspace

Remote work demands a high degree of professionalism, self-discipline, and accountability. The following workspace standards are vital to delivering exceptional service.

• Employees must have a dedicated, professional workspace conducive to servicing Customer Service customers with the same quality as an onsite environment.
• The workspace must be a permanent, unencumbered location used daily for work.
• Employees must work with minimal distractions that do not interfere with business operations or service delivery.
• Ideally, the workspace is isolated from other household members and used exclusively for job duties.
• Background noise, interruptions from people or pets, and other distractions must be kept to an absolute minimum to avoid disruptions to customer service.
• Employees must work from the same location consistently unless prior approval is obtained.
• If a change in work location is necessary:
• The new location must meet all Remote Workspace and Technology Requirements.
• Notification to NTT DATA Management is required before relocating

About NTT DATA

NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D.

Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com, @nttdatafed.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, https://us.nttdata.com/en/contact-us.

NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us.

NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.