Job Closed

This listing is no longer active.

NTT Group logo
NTT Group

A global IT innovator founded in 1965, NTT DATA specializes in system integration and networking system services for more than a dozen industries. As an employe

HC & Insurance Operations Processing Sr Rep

Location

United States

Posted

91 days ago

Salary

0

Seniority

Senior

No structured requirement data.

Job Description

HC & Insurance Operations Processing Sr Rep

NTT Group

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

Related Categories

Related Job Pages

More Insurance Jobs

Agent Integration Inc logo

Entry Level Insurance Representative

Agent Integration Inc

Staffing solutions for every industry and position type. Together we'll create the perfect plan for your business.

Insurance91 days ago
OtherRemoteTeam 11-50Since 2019H1B No Sponsor

Role Description The New York Division of Globe is seeking an entry-level insurance representative to join its team. The ideal candidate will sell policies to new and existing clients, provide excellent customer service, and clearly explain policy details. - Reach out to the provided leads and cultivate relationships with potential customers - Schedule meetings with these individuals via Zoom - Sell various types of insurance policies to new and existing clients - Provide attentive customer service and any necessary administrative support in response to members' needs - Explain policy details, coverage, and benefits to clients - Process policy renewals and updates - Ensure that all documentation is accurate and complete, and perform any necessary updates on schedule - Assist customers with claims processes and inquiries - Keep accurate records of transactions and interactions with customers Qualifications - High school diploma or equivalent - Ability to obtain required insurance licenses within the specified timeframe - Excellent communication and customer service skills - Strong attention to detail and organizational skills - Ability to work independently and as part of a team Benefits - Comprehensive paid training program - Company stock options - Performance-based pay and weekly bonuses - Health insurance, retirement plans, and other employee benefits - Ongoing training and professional development opportunities - Opportunities for career advancement within the company - Flexible work schedule with the ability to work remotely or in the office Company Description

United States
65K - 72K / year
Job Closed
GROW WITH US logo

Crop Insurance Adjuster

GROW WITH US

Helping Websites and Business To Build Authority And Boost Sales Through SEO Link Building

Insurance91 days ago
Full TimeRemoteTeam 1-10Since 2023H1B No Sponsor

• Make first contact with policy holders on the farm or ranch that has just experienced a loss. • Complete field inspections, read maps and aerial photos, measure fields and storage bins, collecting production records of farm commodities, while assessing damage or loss. • Stick with each claim for each grower until the work is done and the claim is settled. • Report to the Area Claims Supervisor and work regularly in the field on farms. • Climb grain bins, walk over rough terrain for long distances, etc. • Apply good judgment, common sense, and understanding of ProAg's adjusting guidelines and policy provisions for a variety of Multi-Peril Crop Insurance, Crop Hail, and Named Peril policies. • Travel of up to 75%, occasionally beyond the assigned territory.

California
$43K - $100K / year
GROW WITH US logo

Crop Insurance Adjuster – Trainee

GROW WITH US

Helping Websites and Business To Build Authority And Boost Sales Through SEO Link Building

Insurance91 days ago
Full TimeRemoteTeam 1-10Since 2023H1B No Sponsor

• Perform fact-finding to determine cause(s) and percentage of loss, exercising your best independent judgment in the handling of claims. • Escalate any issues or problems that you can’t resolve to the Area Claims Supervisor. • Convey regulations and interpretation of procedure to claimants, agents, and industry people on claim situations. • Effectively communicate our position on developing industry topics such as new specialty crops or expanding coverage programs. • Continuously expand your knowledge of RMA rules and regulations and ProAg procedures for applying all MPCI, Crop Hail, and Federal Crop Insurance regulations.

Ohio
$16 - $24 / hour
Job Closed
The Summers Agency logo

Insurance Sales Role with Growth Opportunity

The Summers Agency

The Summers Agency is expanding and looking for individuals interested in starting or growing a career in insurance sales.

Insurance91 days ago
OtherRemoteTeam 14Since 2015

Role Description Looking to build a long-term career with growth into leadership? The Summers Agency is seeking motivated individuals who are ready to develop professionally in the insurance industry. If you’re coachable, driven, and enjoy working with people, this could be a strong fit. This is a fully remote, relationship-focused sales position. You’ll connect with individuals and families who have requested information, understand their needs, and help them secure appropriate coverage. - Contact families who have expressed interest in coverage and guide them through their options - Build rapport and present coverage options - Work with approximately 10–15 families per week (full-time) - Learn mortgage protection and retirement-focused products - Grow into mentorship and leadership opportunities Qualifications - Strong work ethic and willingness to learn - Coachable and self-motivated - Good communication skills - Interest in long-term growth - Life & Health Insurance License required (assistance available if needed) Benefits - Commission-based structure (average $500–$700 per family) - Typical first-year earnings: $70,000–$125,000+ - Leadership opportunities with higher income potential - Bonuses, incentives, and residual income available - Ongoing training and one-on-one mentorship Company Description

United States + 171 moreAll locations: United States | Canada | Brazil | Colombia | Argentina | Chile | Venezuela | Bolivia | Ecuador | French Guiana | Guyana | Paraguay | Peru | Suriname | Uruguay | Mexico | Costa Rica | El Salvador | Guatemala | Honduras | Nicaragua | Panama | Dominican Republic | Puerto Rico | Bahamas | Guadeloupe | Haiti | Jamaica | Martinique | Montserrat | United Kingdom | Germany | France | Estonia | Portugal | Hungary | Poland | Ukraine | Romania | Bulgaria | Czechia | Slovakia | Belarus | Moldova | Sweden | Greece | Belgium | Italy | Ireland | Switzerland | Netherlands | Finland | Malta | Denmark | Lithuania | Croatia | Spain | Austria | Bosnia And Herzegovina | Iceland | Luxembourg | North Macedonia | Montenegro | Norway | Serbia | Slovenia | Albania | Cyprus | Latvia | Monaco | South Africa | Egypt | Algeria | Angola | Benin | Botswana | Burkina Faso | Burundi | Cameroon | Cabo Verde | Central African Republic | Chad | Congo | Côte D'ivoire | Democratic Republic of the Congo | Equatorial Guinea | Eritrea | Ethiopia | Gabon | Gambia | Ghana | Guinea | Guinea-bissau | Kenya | Lesotho | Liberia | Libya | Madagascar | Malawi | Mali | Mauritania | Mauritius | Mayotte | Morocco | Mozambique | Namibia | Niger | Nigeria | Réunion | Rwanda | Senegal | Seychelles | Sierra Leone | Somalia | Sudan | Eswatini | Tanzania | Togo | Tunisia | Uganda | Zambia | Zimbabwe | Georgia | Turkey | Israel | United Arab Emirates | Armenia | Azerbaijan | Bahrain | Iraq | Jordan | Kuwait | Lebanon | Oman | Qatar | Saudi Arabia | Palestine | Yemen | India | Japan | Philippines | Pakistan | Thailand | Singapore | Vietnam | Taiwan | Indonesia | Cambodia | Laos | Malaysia | Myanmar | South Korea | China | Afghanistan | Bangladesh | Bhutan | Kazakhstan | Kyrgyzstan | Maldives | Mongolia | Nepal | Sri Lanka | Tajikistan | Turkmenistan | Uzbekistan | Australia | Papua New Guinea | Kiribati | Palau | French Polynesia | Tuvalu | New Zealand
$70K - $125K / year
Job Closed