Remote Claims Examiner with TPA

NTT DATA North America; Decatur (IL); Remote; USD 57,000 - 98,000; Full time

Job summary

A leading company in IT services is seeking a dedicated Remote Claims Examiner to join their team temporarily. This full-time role focuses on accurately registering, processing, and adjudicating claims while providing excellent support for their clients. Ideal candidates will have TPA experience and a background in claims processing to ensure the efficiency and quality of service.

Qualifications

• 3 years of Claims Processing experience required.
• TPA experience is essential.
• Experience with the GBAS system preferred.

Responsibilities

• Process claims for assigned groups within ten days of receipt.
• Contact providers for information regarding problem claims.
• Assist with audits and claims processing for new or backlogged groups.

Skills

Claims Processing

TPA Experience

Dental Claims Processing

Education

High School Education

Job description

Join to apply for the Remote Claims Examiner with TPA role at NTT DATA North America

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Join to apply for the Remote Claims Examiner with TPA role at 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 .

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.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Temporary

Job function

• Job function

  Finance and Sales

• Industries

  IT Services and IT Consulting

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