Remote Claims Case Manager — Insurance Operations

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

Benefits offered by this job

Medical, dental, vision insurance with

Employer 401k match

Paid time off

Flexible spending account / HSA

Life and AD&D insurance

Short- and long-term disability

Employee assistance

Job summary

NTT DATA, Inc. is seeking a Claims Case Manager to manage the full lifecycle of insurance claims from intake to resolution. The role emphasizes empathetic communication, attention to detail, and timely status updates to claimants via email, phone, and mail.

Qualified candidates will have at least 2 years in analytical claims roles, 2 years in claims adjudication, and 4 years reviewing medical records. Remote work is supported with required home workspace and tech setup.

Qualifications

• 2 years in an analytical role reviewing medical benefits and claims.
• 2 years of claims adjudication experience, preferably in life and supplemental products.
• 4 years of experience reviewing and assessing medical records.

Responsibilities

• End-to-End Claim Management from intake to final decision.
• Provide frequent updates to claimants through email, phone, and mail.
• Review medical documents, claim forms, and policy notes for accuracy.
• Interact with claimants with empathy and attention to detail.
• Collaborate with team members to ensure high-quality service and resolution of issues.
• Maintain accurate records and reports throughout the claims process.
• Analyze data to identify trends and perform root cause analysis.
• Initiate claims and log updates through the lifecycle.
• Communicate required medical records and claim information via multiple channels.
• Follow up on pending claims and assist in obtaining necessary medical records.
• Calculate benefit amounts and process payments in the claims system.
• Manage a caseload of active claims and perform end-to-end steps.

Skills

Analytical skills

Empathy and communication

Attention to detail

Multitasking

Education

High School diploma or GED

College degree preferred

Job description

NTT DATA, Inc. is seeking a Claims Case Manager to manage the full lifecycle of insurance claims from intake to resolution. The role emphasizes empathetic communication, attention to detail, and timely status updates to claimants via email, phone, and mail.

Qualified candidates will have at least 2 years in analytical claims roles, 2 years in claims adjudication, and 4 years reviewing medical records. Remote work is supported with required home workspace and tech setup.