Remote Claims Case Manager - End-to-End Adjudication

NTT DATA, Inc.; Oregon; Hybrid; USD 30,000 - 42,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

FSA/HSA

Life and AD&D insurance

Short/Long-term disability

Paid time off

Employee assistance program

401k with company match

Job summary

NTT DATA, Inc. seeks a Claims Case Manager in the United States to manage end-to-end claims processes, communicate updates to claimants, and review medical documents and policy notes. The role emphasizes empathy, accuracy, and collaboration in a remote, home-based setup.

Candidates should have 2+ years in analytical roles reviewing benefits, 2+ years in claims adjudication, and 4+ years evaluating medical records. A high school diploma is required; college degree preferred.

Qualifications

• 2+ years analytical role reviewing medical benefits and claims.
• 2+ years claims adjudication experience in life or supplemental products.
• 4+ years reviewing and assessing medical records.
• Ability to articulate claim requirements clearly.
• Education: minimum high school diploma or GED; college degree preferred.

Responsibilities

• End-to-End Claim Management from intake to final decision.
• Provide frequent status updates to claimants.
• Review medical documents, claim forms, and policy notes.
• Interact with claimants with empathy and attention to detail.
• Collaborate with team members to ensure high-quality service.
• Maintain accurate records and reports throughout the claims process.
• Analyze data to identify trends and root causes.

Skills

Analytical thinking

Attention to detail

Communication skills

Empathy

Team collaboration

Record keeping

Data analysis

Education

High school diploma or GED

College degree preferred

Job description

NTT DATA, Inc. seeks a Claims Case Manager in the United States to manage end-to-end claims processes, communicate updates to claimants, and review medical documents and policy notes. The role emphasizes empathy, accuracy, and collaboration in a remote, home-based setup.

Candidates should have 2+ years in analytical roles reviewing benefits, 2+ years in claims adjudication, and 4+ years evaluating medical records. A high school diploma is required; college degree preferred.