Remote Claims Examiner with TPA

NTT DATA North America; Decatur (IL); Remote; USD 28,929 - 31,684; Full time

Job summary

A leading global technology services provider is seeking a Claims Examiner to work remotely. This full-time, temporary position requires TPA experience and involves processing claims accurately and efficiently. Applicants should have at least 3 years of claims processing experience, with a preference for those familiar with the GBAS system and dental claims. The pay range is $21 - $23 per hour, depending on experience and location.

Qualifications

• 3 years of claims processing experience required.
• TPA experience is a must.
• Preferred experience in GBAS system and dental claims.

Responsibilities

• Process all claims for assigned groups within ten days of receipt.
• Complete forms for specific claims including printing EOBs.
• Contact providers for information regarding problem claims.
• Print/mail EOBs and claim forms requested by providers.

Skills

Claims Processing Experience

TPA Experience

Knowledge of GBAS system

Dental Claims Processing

Education

High School Education

Job description

Overview

NTT DATA seeks a Claims Examiner on a project basis to work remote, from home. This is a full-time, temporary role. Must have TPA experience. Start date: ASAP. 100% remote; client provides equipment. This is a 90-day temp-to-hire opportunity.

The Claims Processor reports to the Regional Claims Manager, Employee Benefits Division. This position is responsible for registering, processing, and adjudicating claims accurately and efficiently.

Responsibilities

• Process all claims for assigned group(s) within ten days of receipt.
• Complete forms for over specific claims, including printing EOBs, pulling claims and copying claims.
• Contact providers and case management company for information regarding problem claims.
• Print/mail EOBs and claim forms requested by providers and insured members.
• Assist with audits for assigned group.
• Assist with claims processing and over specific for new or backlogged groups.

Knowledge, Skills and Abilities

• High School Education required.
• 3 Years of Claims Processing Experience.
• TPA Experience.
• Preferred: Experience in the GBAS system; Experience processing Dental Claims.

About NTT DATA

NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. NTT DATA is part of NTT Group and headquartered in Tokyo.

Compensation

The starting hourly range for this remote role is $21 - $23/hour. This range reflects the minimum and maximum target compensation for the position across all U.S. locations. Actual compensation will depend on factors including work location, relevant experience, technical skills, and other qualifications.

Equal Opportunity

NTT DATA is an equal opportunity employer and considers all applicants without regard to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter.