Remote Claims Operations Analyst

NTT DATA North America

Lincoln (NE)

On-site

USD 44,000 - 60,000

Full time

7 hours ago

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Benefits offered by this job

Medical, dental, and vision insurance

401(k) with company match

Paid time off

Life and AD&D insurance

Short- and long-term disability

Employee assistance

Job summary

NTT DATA North America is seeking a dedicated Claims Case Manager to oversee end-to-end claims processing for insured policyholders. The role emphasizes intake through final decision, with regular status updates via email, phone, or mail, and a strong focus on accuracy and empathy.

Ideal candidates will have 2+ years in analytical roles, claims adjudication, and medical records review, plus a high school diploma.

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.
High school diploma or GED; college degree preferred.

Responsibilities

End-to-End Claim Management: Handle every aspect of the claim process, from intake to final decision.
Status Updates: Provide frequent updates to claimants through their preferred communication channels.
Document Review: Thoroughly review medical documents, claim forms, and policy notes.
Communication: Interact with claimants with empathy and attention to detail.
Team Collaboration: Work with team members to ensure high-quality service and resolution of issues.
Record Keeping: Maintain accurate records and reports throughout the claims process.
Data Analysis: Compile and analyze data to identify trends and perform root cause analysis.