Trans.Appl.Group Inc. NE

Position: Claims Case Manager Must live in the Continental United States This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short- and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits. Role Overview: We are seeking a dedicated Claims Case Manager to provide comprehensive claim servicing to our insurance policyholders. This role involves managing the entire claims process from intake to final decision, ensuring frequent status updates to claimants through their preferred communication channels (email, phone, mail, etc.). The ideal candidate will have a strong analytical skill set, a thorough understanding of the claims process, and the ability to communicate with empathy and detail. Pay for this Role $26hr. Key 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. Basic Qualifications: - Experience: - 2 years in an analytical role reviewing medical benefits and claims. - 2 years of claims adjudication experience, preferably in life, and supplemental products (e.g., critical illnesses such as cancer, stroke, heart attack, kidney disease). - 4 years of experience reviewing and assessing medical records. - Experience articulating claim requirements clearly and concisely. - Education: Minimum high school diploma or GED; college degree preferred. - Work Environment: - At least 1 year of experience working from home with proven productivity and quality. - Designated quiet area for completing calls. Responsibilities: - Claim Initiation: Gather information and initiate claims through various channels. - Detailed Logging: Log and update pertinent information throughout the claim lifecycle. - Omni-Channel Correspondence: Communicate required medical records and claim information via email, mail, and phone. - Proactive Follow-Up: Follow up on pending claims and assist in gathering required medical records. - Benefit Calculation: Calculate benefit amounts and process payments through the claims system. - Multitasking: Manage a caseload of active claims and perform end-to-end steps. - Attention to Detail: Ensure accuracy and organization in logging, tracking, and reviewing claims. Identify and flag potential fraudulent activities. - Collaboration: Work with management and team members to address service issues and concerns. - Empathy: Communicate with claimants with empathy and a willingness to help. If you are passionate about delivering exceptional customer service and have the required qualifications, we encourage you to apply for this rewarding opportunity. Any state specific certification related to performing the job duties shall be sponsored by the company and successful completion of the certification program is desired. Required schedule availability for this position is between Monday-Friday 7:00 am to 7:00 pm (Central Time), OT during evenings and Saturdays could also be required based on business need, particularly during the months of Nov – Feb. New hire must have a working device (such as cell phone or tablet) for the 2-Factor Authentication process Must Pass Drug screen Must Pass a background check with Education check and employment verification check. Remote Working and Technology Requirements To work remote, individuals must meet all the established Remote requirements including those pertaining to a home workspace and related technology. Technology - NTT DATA will provide a computer and headset for remote work. - Employees are responsible for the care and security of all equipment provided. They must return it immediately upon separation from the company following company protocols. - Failure to return equipment may result in collection actions and/or other consequences. - Individuals must provide their own high speed internet access with speeds at or above 50 Mbps. - A hard-wired ethernet connection is required. Wi-Fi, mobile, wireless and public internet connections are forbidden as are connections outside of one’s personal dwelling or location. Technical Performance and Issue Tracking - Management monitors all technical issues and agent downtime. Consistent availability is critical to business operations. - Remote employees must adhere to all technical support procedures and protocols. - Chronic connectivity issues or recurring downtime that impede job performance, including internet outages, may result in the remote status changing to onsite. Remote Workspace Remote work demands a high degree of professionalism, self-discipline, and accountability. The following workspace standards are vital to delivering exceptional service. - Employees must have a dedicated, professional workspace conducive to servicing Customer Service customers with the same quality as an onsite environment. - The workspace must be a permanent, unencumbered location used daily for work. - Employees must work with minimal distractions that do not interfere with business operations or service delivery. - Ideally, the workspace is isolated from other household members and used exclusively for job duties. - Background noise, interruptions from people or pets, and other distractions must be kept to an absolute minimum to avoid disruptions to customer service. - Employees must work from the same location consistently unless prior approval is obtained. - If a change in work location is necessary: - The new location must meet all Remote Workspace and Technology Requirements. - Notification to NTT DATA Management is required before relocating

Req ID: 351429 NTT DATA 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, apply now. We are currently seeking a BPO Director to join our team. We’re seeking an experienced BPO Director to lead the strategy, performance, and operational excellence. In this role, you will own the relationships with our BPO partners, drive exceptional customer experience, and ensure operational efficiency across multiple sites and geographies. This is a high‑impact leadership position for someone who thrives in a fast-paced, data-driven, customer-focused environment. **Must Live in Continental United States** This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short- and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits. Pay for this role is 112k Salary Key Responsibilities - Lead the strategy, governance, and day-to-day performance of our operations. - Manage and influence multi-site, multi-country BPO vendor relationships to ensure alignment with company goals. - Drive KPI and SLA performance across CSAT, AHT, FCR, QA, productivity, compliance, and WFM accuracy. - Conduct regular business reviews, negotiate performance improvements, and implement corrective action plans. - Partner with Workforce Management, Quality, Training, and CX teams to ensure consistency of service delivery. - Use data analytics to identify trends, forecast needs, and drive continuous improvement. - Ensure compliance with internal standards, regulatory requirements, security protocols, and data privacy policies. - Support launches, workflow enhancements, and policy updates in collaboration with cross-functional teams. - Champion a culture of customer excellence across all BPO network partners. Required - 8 years of leadership experience in BPO Leadership operations. - Bachelor’s degree - Proven track record managing large-scale outsourced teams (200+ FTE). - Strong vendor management, negotiation, and relationship-building expertise. - Excellent analytical, problem-solving, and data interpretation skills. - Experience managing KPIs, implementing performance improvements, and optimizing operations. - Exceptional communication and leadership abilities. Preferred Skills: - Certifications in training or learning (e.g., ATD, CPTD, Six Sigma). - Experience with high-volume hiring and onboarding in BPO settings. - Familiarity with compliance training, soft skills development, and multilingual training programs. New hire must have a working device (such as cell phone or tablet) for the 2-Factor Authentication process *** All new hires will be required to successfully complete our FOI training class and demonstrate proficiency of the material. Must Pass Drug screen Must Pass a background check with Education check and employment verification check. Remote Working and Technology Requirements To work remote, individuals must meet all the established Remote requirements including those pertaining to a home workspace and related technology. Technology - NTT DATA will provide a computer and headset for remote work. - Employees are responsible for the care and security of all equipment provided. They must return it immediately upon separation from the company following company protocols. - Failure to return equipment may result in collection actions and/or other consequences. - Individuals must provide their own high speed internet access with speeds at or above 50 Mbps. - A hard-wired ethernet connection is required. Wi-Fi, mobile, wireless and public internet connections are forbidden as are connections outside of one’s personal dwelling or location. Technical Performance and Issue Tracking - Management monitors all technical issues and agent downtime. Consistent availability is critical to business operations. - Remote employees must adhere to all technical support procedures and protocols. - Chronic connectivity issues or recurring downtime that impede job performance, including internet outages, may result in the remote status changing to onsite. Remote Workspace Remote work demands a high degree of professionalism, self-discipline, and accountability. The following workspace standards are vital to delivering exceptional service. - Employees must have a dedicated, professional workspace conducive to servicing Customer Service customers with the same quality as an onsite environment. - The workspace must be a permanent, unencumbered location used daily for work. - Employees must work with minimal distractions that do not interfere with business operations or service delivery. - Ideally, the workspace is isolated from other household members and used exclusively for job duties. - Background noise, interruptions from people or pets, and other distractions must be kept to an absolute minimum to avoid disruptions to customer service. - Employees must work from the same location consistently unless prior approval is obtained. - If a change in work location is necessary: - The new location must meet all Remote Workspace and Technology Requirements. - Notification to NTT DATA Management is required before relocating #INDBPO #LI-MIWS About NTT DATA NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D. Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, https://us.nttdata.com/en/contact-us. NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.

Req ID: 356461 NTT DATA 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, apply now. We are currently seeking a BPO Senior Manager to join our team. Job Posting: BPO Senior Manager We are seeking a highly experienced BPO Senior Manager to lead operations, drive performance excellence, and ensure high-quality service delivery across our business process outsourcing teams. This role requires strong analytical abilities, deep domain expertise, and proven leadership skills in managing high-volume, process-driven environments. This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short- and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits. **Must Live in Continental United States** Pay for this role is $85K Basic Qualifications: - 8 years of BPO experience, with at least 3 years in a managerial or senior leadership role. - 5 years Experience in process transitions, implementation, and client relationship management. - 3 year experience working in an office setting, multitasking online with multiple Microsoft Windows PC applications - Minimum High school diploma or GED. Key Responsibilities - Oversee end-to-end BPO operations, ensuring accuracy, efficiency, and compliance with business rules and SLAs. - Conduct thorough checks for completeness and appropriateness of source data. - Lead fact-finding activities, including information searches, data gathering, and process audits. - Verify, compile, and validate data to support operational activities and reporting requirements. - Identify, resolve, and prevent routine and recurring operational issues. - Collaborate with cross-functional teams to enhance workflows and implement process improvements. - Monitor team performance, conduct coaching sessions, and drive a culture of excellence and accountability. - Ensure adherence to regulatory, client, and quality standards. Required Skills & Qualifications - Strong analytical ability to review, interpret, and process transactions based on defined operational rules. - Demonstrated ability to integrate knowledge as a skilled specialist, applying expertise to solve problems and optimize processes. - Deep domain knowledge in the Healthcare and Insurance industry, with experience handling related processes, compliance requirements, and data standards. - Proven ability to verify, analyze, and compile data accurately. - Experience resolving operational challenges and driving productivity improvements. - Excellent verbal and written communication skills. - Strong leadership capabilities with experience managing large teams in a BPO environment. - Exposure to Lean, Six Sigma, or other process optimization methodologies (preferred but not required). This job posting is for active vacancies. Applications are pre-screened using artificial intelligence technology and reviewed by NTT DATA recruiters. Remote Working and Technology Requirements To work remote, individuals must meet all the established Remote requirements including those pertaining to a home workspace and related technology. Technology - NTT DATA will provide a computer and headset for remote work. - Employees are responsible for the care and security of all equipment provided. They must return it immediately upon separation from the company following company protocols. - Failure to return equipment may result in collection actions and/or other consequences. - Individuals must provide their own high speed internet access with speeds at or above 50 Mbps. - A hard-wired ethernet connection is required. Wi-Fi, mobile, wireless and public internet connections are forbidden as are connections outside of one’s personal dwelling or location. Technical Performance and Issue Tracking - Management monitors all technical issues and agent downtime. Consistent availability is critical to business operations. - Remote employees must adhere to all technical support procedures and protocols. - Chronic connectivity issues or recurring downtime that impede job performance, including internet outages, may result in the remote status changing to onsite. Remote Workspace Remote work demands a high degree of professionalism, self-discipline, and accountability. The following workspace standards are vital to delivering exceptional service. - Employees must have a dedicated, professional workspace conducive to servicing Customer Service customers with the same quality as an onsite environment. - The workspace must be a permanent, unencumbered location used daily for work. - Employees must work with minimal distractions that do not interfere with business operations or service delivery. - Ideally, the workspace is isolated from other household members and used exclusively for job duties. - Background noise, interruptions from people or pets, and other distractions must be kept to an absolute minimum to avoid disruptions to customer service. - Employees must work from the same location consistently unless prior approval is obtained. - If a change in work location is necessary: - The new location must meet all Remote Workspace and Technology Requirements. - Notification to NTT DATA Management is required before relocating #INDBPO #LI-MIWS About NTT DATA NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D. Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, https://us.nttdata.com/en/contact-us. NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.