Remote Claims Examiner with TPA

Lensa; Decatur (IL); Remote; USD 10,000 - 60,000; Full time

Job summary

A leading company in IT services is seeking a Claims Examiner for a remote, full-time position. The ideal candidate will have a high school education and at least 3 years of claims processing experience. This role involves registering, processing, and adjudicating claims efficiently, ensuring accuracy to support employee benefits management.

Qualifications

• 3 years of claims processing experience required.
• Must have TPA experience.
• Experience in the GBAS system preferred.

Responsibilities

• Process claims within ten days of receipt.
• Complete forms and print/mail EOBs.
• Assist with audits for assigned groups.

Skills

Claims Processing

High School Education

TPA Experience

Dental Claims Processing

Education

High School Diploma

Job description

13 hours ago Be among the first 25 applicants

Lensa partners with DirectEmployers to promote this job for NTT DATA North America.

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA Services and for the people who work here.

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 or GBAS experience

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.

Job Responsibilities

• Process all claims for assigned group(s) within ten days of receipt.
• Complete forms for over specific claims, including, but not limited to, 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 Ability Requirements

• 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. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com (https://us.nttdata.com/en) .

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is ($22 - $24/hourly). This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.

NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental 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 so that we may connect you with the appropriate team.

If you have questions about this posting, please contact [e-mail]

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Temporary

Job function

• Job function

  Finance and Sales

• Industries

  IT Services and IT Consulting

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