HC Claims Insurance Operations Associate- BPO Jobs in Chennai - NTT DATA Services

HC Claims Insurance Operations Associate- BPO
NTT DATA Services
Any Graduate
2 to 3 yrs
NTT DATA Services
Last Date 14 Mar 2021
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NTT DATA Services - Job Details

Date of posting: 14 Jan 21
NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization

We are currently seeking a HC& Claims Insurance Operations Associate
  • BPO to join our team in Chennai, Tamil Nādu (IN-TN),India (IN).

    In this Role you will be Responsible For
    • Review and process insurance claims.
    • Validate Member, Provider and other Claims information.
    • Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure.
    • Coordination of Claim Benefits based on the Policy & Procedure.
    • Maintain productivity goals, quality standards and aging timeframes.
    • Scrutinizing Medical Claim Documents and settlements.
    • Organizing and completing tasks per assigned priorities.
    • Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the tea
    • Resolving complex situations following pre-established guidelines
    Requirements For This Role Include
    • University degree or equivalent that required formal studies of the English language and basic Math
    • 2 to 3 Years of experience in Claims Adjudication/Adjustments that required a working knowledge of HCPCS, ICD and CPT codes.
      Experience that required a knowledge of healthcare insurance policy concepts including In Network, Out of Network providers, Deductible, Coinsurance, Co-pay, Out of Pocket, Maximum inside limits and Exclusions, State Variations.
      Experience in Claims Platform AMISYS or Xcelys is preferrable
  • Required schedule availability for this position is Monday-Friday 6PM/4AM IST The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.
  • Job Summary

    Job Type : 0
    Job Role : Others
    Job Category : Others
    Hiring Process : Face to Face Interview
    Who can apply : Experienced (2 to 3 yrs)

    About NTT DATA Services

    About NTT DATA Services

    NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

    NTT DATA Services is an equal opportunity employer and will consider all qualified applicants for employment without regard to race, gender, disability, age, veteran-status, sexual orientation, gender identity, or any other class protected by law.
    Apply Now
    This posting is done directly & exclusively on We do not entertain any unsolicited calls or enquiries from any consultants, other portals or TPOs. Notice: This recruitment is FREE. if the recruiter charges any fees, please write us

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