NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this Role the candidate will be responsible for: • Processing of Professional claim forms files by provider • Reviewing the policies and benefits • Comply with company regulations regarding HIPAA, confidentiality, and PHI • Abide with the timelines to complete compliance training of NTT Data/Client • Work independently to research, review and act on the claims • Prioritize work and adjudicate claims as per turnaround time/SLAs • Ensure claims are adjudicated as per clients defined workflows, guidelines • Sustaining and meeting the client productivity/quality targets to avoid penalties • Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA. • Timely response and resolution of claims received via emails as priority work • Correctly calculate claims payable amount using applicable methodology/ fee schedule Requirements: • 3 year(s) hands-on experience in Healthcare Claims Processing • 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools • High school diploma or GED. • Previously performing – in P&Q work environment; work from queue; remotely • Key board skills and computer familiarity – o Toggling back and forth between screens/can you navigate multiple systems. o Working knowledge of MS office products – Outlook, MS Word and MS-Excel. Preferred Skills & Experiences: • Amisys • Ability to communicate (oral/written) effectively in a professional office setting • Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities • Time management with the ability to cope in a complex, changing environment

Are you ready to use your auto claims expertise to help clients improve outcomes and drive long-term success? Do you enjoy building trusted relationships, delivering consultative value, and being the voice of the customer? About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Insurance vertical, we provide customers with solutions and decision tools that combine public and industry specific content with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help drive better data-driven decisions across the insurance policy lifecycle all while reducing risk. You can learn more about LexisNexis Risk at the link below. https://risk.lexisnexis.com/insurance About our Team: Our Claims Consulting team is a collaborative group of experienced, customer-focused professionals who work closely with sales, product, and internal partners. We pride ourselves on being proactive advisors to our clients, delivering meaningful insights, training, and solutions that help them succeed in a competitive and evolving claims landscape. About the Role: The Claims Account Manager / Claims Field Consultant is responsible for ensuring client satisfaction and retention through high-quality service and proactive consultation. In this role, you will serve as a trusted advisor to assigned customers’ claims organizations, helping them optimize workflows, understand industry trends, and maximize the value of LexisNexis Risk Solutions products. You will partner closely with Vertical Account Managers and internal teams to support client-specific service plans that drive retention and revenue growth. This role requires strong relationship management skills, the ability to work independently in a remote environment, and a willingness to travel up to 50% or more based on client needs. Responsibilities: - Building and maintaining strong relationships with claims offices within an assigned client base, serving as a primary point of contact for service needs. - Partnering with Vertical Account Managers to develop and execute client-specific service plans that support revenue growth and retention. - Analyzing industry trends, competitive threats, and client product usage to develop strategic recommendations for customers. - Reviewing customer product usage data to identify opportunities for additional value, efficiency, and targeted user training. - Conducting on-site and virtual Claims Workflow Observations to understand client processes and recommend appropriate LexisNexis Risk Solutions products. - Delivering on-site and remote service engagements, including webinars and in-person visits, to support client success. - Providing competitive intelligence by identifying alternative solutions clients may be using and sharing insights internally. - Preparing and delivering product training sessions for claims professionals, both virtually and in person, to audiences of varying sizes. - Documenting client interactions and follow-up actions in LexisNexis Risk Solutions’ CRM system to ensure consistent, high-quality service. - Troubleshooting product and service-related concerns and coordinating resolutions with internal business partners. - Proactively promoting new product offerings to existing clients through calls, emails, and social media outreach. Requirements: - Minimum of 5 years of auto claims experience, preferably with leadership, training, consulting, or account management responsibilities. - Insurance or claims professional designations such as AIC, ARM, CPCU, SCLA, CCLA, or similar are strongly preferred. - Bachelor’s degree or equivalent relevant work experience required. - Ability to work independently in a remote environment with minimal supervision and a strong work ethic. - Strong organizational, time management, and project management skills. - Excellent written and verbal communication skills, with confidence presenting to groups and developing training materials. - Proven customer relationship management experience and consultative mindset. - Demonstrated proficiency in Microsoft Office tools, including Word, Excel, and PowerPoint, with strong Excel data analysis skills (pivot tables, spreadsheets). - Able to travel 25% at minimum, with willingness to travel up to 50% or more, based on client needs. Working for you: We know that your wellbeing and happiness are key to a long and successful career. These are some of the benefits we are delighted to offer: - Health Benefits: Comprehensive, multi-carrier program for medical, dental and vision benefits - Retirement Benefits: 401(k) with match and an Employee Share Purchase Plan - Wellbeing: Wellness platform with incentives, Headspace app subscription, Employee Assistance and Time-off Programs - Short-and-Long Term Disability, Life and Accidental Death Insurance, Critical Illness, and Hospital Indemnity - Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits - Health Savings, Health Care, Dependent Care and Commuter Spending Accounts - In addition to annual Paid Time Off, we offer up to two days of paid leave each to participate in Employee Resource Groups and to volunteer with your charity of choice U.S. National Base Pay Range: $74,100 - $137,600. Total Target Cash Range: $113,900 - $211,700. Geographic differentials may apply in some locations to better reflect local market rates. If performed in Colorado, the base pay range is $74,100 - $137,600, the total target cash range is $113,900 - $211,700.If performed in Illinois, the base pay range is $77,700 - $144,400, the total target cash range is $119,600 - $222,300.If performed in Chicago, IL, the base pay range is $81,500 - $151,400, the total target cash range is $125,400 - $232,900.If performed in Maryland, the base pay range is $77,700 - $144,400, the total target cash range is $119,600 - $222,300.If performed in New York, the base pay range is $81,500 - $151,400, the total target cash range is $125,400 - $232,900.If performed in New York City, the base pay range is $88,800 - $165,100, the total target cash range is $136,700 - $254,000.If performed in Rochester, NY, the base pay range is $74,100 - $137,600, the total target cash range is $113,900 - $211,700.If performed in New Jersey, the base pay range is $89,628 - $143,172, the total target cash range is $138,292 - $220,908.If performed in Ohio, the base pay range is $70,400 - $130,800, the total target cash range is $108,200 - $201,000.Pay mix between base and variable pay varies based on sales role; please discuss with the recruiter. Application deadline is 03/27/2026. We know your well-being and happiness are key to a long and successful career. We are delighted to offer country specific benefits. Click here to access benefits specific to your location. We are committed to providing a fair and accessible hiring process. If you have a disability or other need that requires accommodation or adjustment, please let us know by completing our Applicant Request Support Form or please contact 1-855-833-5120. Criminals may pose as recruiters asking for money or personal information. We never request money or banking details from job applicants. Learn more about spotting and avoiding scams here. Please read our Candidate Privacy Policy. We are an equal opportunity employer: qualified applicants are considered for and treated during employment without regard to race, color, creed, religion, sex, national origin, citizenship status, disability status, protected veteran status, age, marital status, sexual orientation, gender identity, genetic information, or any other characteristic protected by law. USA Job Seekers: EEO Know Your Rights.

Are you ready to use your auto claims expertise to help clients improve outcomes and drive long-term success? Do you enjoy building trusted relationships, delivering consultative value, and being the voice of the customer? About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Insurance vertical, we provide customers with solutions and decision tools that combine public and industry specific content with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help drive better data-driven decisions across the insurance policy lifecycle all while reducing risk. You can learn more about LexisNexis Risk at the link below. https://risk.lexisnexis.com/insurance About our Team: Our Claims Consulting team is a collaborative group of experienced, customer-focused professionals who work closely with sales, product, and internal partners. We pride ourselves on being proactive advisors to our clients, delivering meaningful insights, training, and solutions that help them succeed in a competitive and evolving claims landscape. About the Role: The Claims Account Manager / Claims Field Consultant is responsible for ensuring client satisfaction and retention through high-quality service and proactive consultation. In this role, you will serve as a trusted advisor to assigned customers’ claims organizations, helping them optimize workflows, understand industry trends, and maximize the value of LexisNexis Risk Solutions products. You will partner closely with Vertical Account Managers and internal teams to support client-specific service plans that drive retention and revenue growth. This role requires strong relationship management skills, the ability to work independently in a remote environment, and a willingness to travel up to 50% or more based on client needs. Responsibilities: - Building and maintaining strong relationships with claims offices within an assigned client base, serving as a primary point of contact for service needs. - Partnering with Vertical Account Managers to develop and execute client-specific service plans that support revenue growth and retention. - Analyzing industry trends, competitive threats, and client product usage to develop strategic recommendations for customers. - Reviewing customer product usage data to identify opportunities for additional value, efficiency, and targeted user training. - Conducting on-site and virtual Claims Workflow Observations to understand client processes and recommend appropriate LexisNexis Risk Solutions products. - Delivering on-site and remote service engagements, including webinars and in-person visits, to support client success. - Providing competitive intelligence by identifying alternative solutions clients may be using and sharing insights internally. - Preparing and delivering product training sessions for claims professionals, both virtually and in person, to audiences of varying sizes. - Documenting client interactions and follow-up actions in LexisNexis Risk Solutions’ CRM system to ensure consistent, high-quality service. - Troubleshooting product and service-related concerns and coordinating resolutions with internal business partners. - Proactively promoting new product offerings to existing clients through calls, emails, and social media outreach. Requirements: - Minimum of 5 years of auto claims experience, preferably with leadership, training, consulting, or account management responsibilities. - Insurance or claims professional designations such as AIC, ARM, CPCU, SCLA, CCLA, or similar are strongly preferred. - Bachelor’s degree or equivalent relevant work experience required. - Ability to work independently in a remote environment with minimal supervision and a strong work ethic. - Strong organizational, time management, and project management skills. - Excellent written and verbal communication skills, with confidence presenting to groups and developing training materials. - Proven customer relationship management experience and consultative mindset. - Demonstrated proficiency in Microsoft Office tools, including Word, Excel, and PowerPoint, with strong Excel data analysis skills (pivot tables, spreadsheets). - Able to travel 25% at minimum, with willingness to travel up to 50% or more, based on client needs. Working for you: We know that your wellbeing and happiness are key to a long and successful career. These are some of the benefits we are delighted to offer: - Health Benefits: Comprehensive, multi-carrier program for medical, dental and vision benefits - Retirement Benefits: 401(k) with match and an Employee Share Purchase Plan - Wellbeing: Wellness platform with incentives, Headspace app subscription, Employee Assistance and Time-off Programs - Short-and-Long Term Disability, Life and Accidental Death Insurance, Critical Illness, and Hospital Indemnity - Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits - Health Savings, Health Care, Dependent Care and Commuter Spending Accounts - In addition to annual Paid Time Off, we offer up to two days of paid leave each to participate in Employee Resource Groups and to volunteer with your charity of choice U.S. National Base Pay Range: $74,100 - $137,600. Total Target Cash Range: $113,900 - $211,700. Geographic differentials may apply in some locations to better reflect local market rates. If performed in Colorado, the base pay range is $74,100 - $137,600, the total target cash range is $113,900 - $211,700.If performed in Illinois, the base pay range is $77,700 - $144,400, the total target cash range is $119,600 - $222,300.If performed in Chicago, IL, the base pay range is $81,500 - $151,400, the total target cash range is $125,400 - $232,900.If performed in Maryland, the base pay range is $77,700 - $144,400, the total target cash range is $119,600 - $222,300.If performed in New York, the base pay range is $81,500 - $151,400, the total target cash range is $125,400 - $232,900.If performed in New York City, the base pay range is $88,800 - $165,100, the total target cash range is $136,700 - $254,000.If performed in Rochester, NY, the base pay range is $74,100 - $137,600, the total target cash range is $113,900 - $211,700.If performed in New Jersey, the base pay range is $89,628 - $143,172, the total target cash range is $138,292 - $220,908.If performed in Ohio, the base pay range is $70,400 - $130,800, the total target cash range is $108,200 - $201,000.Pay mix between base and variable pay varies based on sales role; please discuss with the recruiter. Application deadline is 03/27/2026. We know your well-being and happiness are key to a long and successful career. We are delighted to offer country specific benefits. Click here to access benefits specific to your location. We are committed to providing a fair and accessible hiring process. If you have a disability or other need that requires accommodation or adjustment, please let us know by completing our Applicant Request Support Form or please contact 1-855-833-5120. Criminals may pose as recruiters asking for money or personal information. We never request money or banking details from job applicants. Learn more about spotting and avoiding scams here. Please read our Candidate Privacy Policy. We are an equal opportunity employer: qualified applicants are considered for and treated during employment without regard to race, color, creed, religion, sex, national origin, citizenship status, disability status, protected veteran status, age, marital status, sexual orientation, gender identity, genetic information, or any other characteristic protected by law. USA Job Seekers: EEO Know Your Rights.

The Claims Examiner is responsible for the accurate and timely processing of medical, dental, vision and prescription drug claims. The incumbent is expected to provide courteous and prompt responses to customer inquiries. The incumbent is expected to communicate professionally with peers, supervisors, subordinates, vendors, customers, and the public, and to be respectful and courteous in the conduct of this position. ESSENTIAL JOB FUNCTIONS: - Essential job functions include the following. Other functions may be assigned as business conditions change. - Verifies the accuracy and receipt of all required documentation for each claim submitted. - Collaborates with providers, plan participants, other claims payers, or any other party necessary to obtain information necessary to accurately process a claim. - Analyzes information necessary for processing. This includes, but is not limited to, general participant and provider information, managed care affiliation, diagnosis codes, dates, place, type of service, procedure codes, and charges. - Assures that the system processes the claim correctly and determines payment according to the plan as written. - Word-processes correspondence to plan participants and providers in reference to pre-determinations and in response to basic benefit questions. - Answers telephone calls from plan participants, group contacts, and customer service representatives pertaining to benefits and claims inquiries. - Resolves problematic claims with the assistance of the Team Leader, Claims Manager and/or the Director of Claims. - Assigns critically ill patients to large case management. Assists the case manager with direct negotiation and the efficient use of benefits. - Assists other examiners as needed due to workload requirements, including assigned back-up when examiners are absent. - Aids the Team Leader and/or the Claims Manager in the resolution of claim appeals and disputes by providing documentation for review. - Researches, calculates and requests refunds when necessary. - Contributes to the daily workflow with regular and punctual attendance. - Thoroughly researches and completes renewal reports in a timely manner in consultation with the Marketing Department. - Process eligible claims on groups before the end of their stoploss contract renewal period. - Assists the Legal Department with subrogation claims as necessary. - Attends various group meetings as required. - Assists with audits as needed. - Assists with plan benefit set-up and changes as needed. Minimum Education: High school graduation or GED required. Minimum Experience: Basic computer and customer service experience required. Other Qualifications: - Excellent oral and written communication skills required. - PC skills, including Windows and Word. - Ability to learn all functions of the claims processing software as is necessary for claims processing and adjudication. - Must be able to adapt to software changes as they occur. - Typing ability of 45 wpm net - Excellent listening skills. - Basic mathematical skills. - High level of interpersonal skills to work effectively with others. - Ability to organize and recall large amounts of detailed information. - Ability to read, analyze and interpret benefit summary plan descriptions, insurance documents, plan benefits, and regulations and make appropriate applications to specific situations. - Ability to meet productivity standards with 99% financial accuracy and 95% procedural accuracy. - Thorough knowledge of claims processing procedures and requirements. - Ability to project a professional image and positive attitude in any work environment. - Ability to comply with privacy and confidentiality standards. - Ability to be flexible, work under pressure and meet deadlines. - Ability to analyze and solve problems with professionalism and patience, and to exercise good judgment when making decisions. - Ability to operate typical office equipment. - Working knowledge of general office procedures. About Allegiance by Cigna Healthcare Since 1981, Allegiance by Cigna Healthcare has specialized in administering medical benefits, including claims processing, customer service, utilization management, and case management. With a high‑touch approach to member and client service, Allegiance supports some of the nation’s most innovative health benefit strategies. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.