Role Description 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 Qualifications - 1-3 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 - Toggling back and forth between screens - Working knowledge of MS office products - Outlook, MS Word and MS-Excel - Must be able to work 7am - 4 pm CST online/remote (training is required on-camera) - 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 - Ability to communicate (oral/written) effectively in a professional office setting Preferred Skills & Experiences - Amisys Preferred Company Description NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long-term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future.

Role Description This role is responsible for adjudicating and processing supplemental insurance claims from intake through final payment. The position focuses on gathering and analyzing claim information, verifying eligibility, making accurate benefit decisions, and ensuring timely, precise payments. You’ll manage each claim end-to-end while delivering responsive, compassionate service to claimants, policyholders, and partners. The role also contributes to continuous improvement by bringing forward customer insights, identifying process gaps, and collaborating with teammates to enhance the overall claims experience. Key Responsibilities - Manage claim intake, review, and communication across both digital and paper channels. - Verify eligibility, analyze coverage details, and adjudicate supplemental insurance claims. - Complete the full payment process, including distribution, authorization, and lost-check resolution. - Apply claim management strategies to ensure accurate payments and appropriate financial outcomes. - Participate in continuous improvement efforts by identifying issues, sharing customer insights, and supporting workflow enhancements. Qualifications - High School Diploma or equivalent. - 2+ years of experience in supplemental claims processing. - Prior experience with medical billing or CPT coding. - Strong ability to analyze information, interpret policy provisions, and make accurate claim decisions. - Proficiency with Microsoft Office applications (Word, Outlook, Excel, PowerPoint). - Experience collaborating with employers, brokers, TPAs, and other external partners. - Familiarity with continuous improvement practices or customer-experience-focused workflows. Key Behaviors of a Successful Candidate - Adaptability: Adjusts quickly to changing priorities and embraces new ways of working. - Improvement Mindset: Seeks opportunities to streamline processes and enhance the customer experience. - Driving Success: Takes initiative, pursues goals with persistence, and remains resilient when challenges arise. Benefits - A rich benefits package including medical, dental, vision and a 401(k) plan with matching company contributions. - An annual incentive bonus plan. - Generous paid time off including 11 holidays, 2 wellness days, and 8 volunteer hours annually — PTO increases with tenure. - A supportive, responsive management approach and opportunities for career growth and advancement. - Paid parental leave and adoption/surrogacy assistance. - An employee giving program that double matches your donations to eligible nonprofits and schools. Salary Range 21.63 - 29.45

Role Description To analyze and process low to mid-level auto and transportation claims. - Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. - Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution. - Identifies and pursues subrogation opportunities; secures and disposes of salvage. - Communicates claim action/processing with insured, client, and agent or broker when appropriate. - Maintains professional client relations. - Performs coverage, liability, and damage analysis on all claims assignments. - Performs other duties as assigned. - Supports the organization's quality program(s). Qualifications - Bachelor's degree from an accredited college or university preferred. - Secure and maintain the State adjusting licenses as required for the position. - Familiarity with personal and commercial lines policies and endorsements. - Ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims. - Knowledge of total loss processing, State salvage forms and title requirements, preferred. - Excellent oral and written communication, including presentation skills. - PC literate, including Microsoft Office products. - Analytical and interpretive skills. - Strong organizational skills. - Good interpersonal skills. - Ability to work in a team environment. - Ability to meet or exceed Service Expectations. - Work environment requirements include: - Physical: Computer keyboarding. - Auditory/visual: Hearing, vision and talking. - Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. - When applicable and appropriate, consideration will be given to reasonable accommodations. Company Description Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Role Description The Transportation & Logistics Claims Specialist / Developing Adjuster will support the SPG Cargo & Logistics Claims & Recoveries Department in the handling, investigation, documentation, and resolution of transportation, logistics, cargo, broker liability, and related claims. This role is designed for a transportation professional with strong logistics, carrier compliance, freight claims, risk management, and carrier-vetting experience who will develop into a licensed claims adjuster. The position will support the Transportation & Logistics claims function by assisting with claim investigations, document review, carrier and broker file development, coverage and liability issue-spotting, claim communication, and resolution strategy under the supervision of the Head of Claims & Recoveries. The successful candidate must obtain a Texas adjuster license within six months of hire. Until properly licensed, the candidate will work under supervision and will not independently issue coverage positions, make final claim determinations, exercise settlement authority, or direct litigation. Key Responsibilities - Assist with the handling and development of Transportation & Logistics claims, including broker liability, carrier liability, cargo loss, temperature-controlled freight issues, theft, transportation accidents, and service-related claims. - Gather, review, and organize key claim materials, including bills of lading, rate confirmations, tenders, carrier packets, COIs, insurance documentation, FMCSA records, carrier-vetting materials, safety history, claims correspondence, invoices, photographs, police reports, and other supporting documents. - Support initial claim investigations by identifying the involved parties, transportation chain, carrier assignment, broker role, contractual documents, shipment details, claimed damages, and potential liability issues. - Assist in evaluating carrier compliance, carrier qualification, safety indicators, insurance status, operating authority, and other risk factors relevant to broker-liability and negligent-selection claims. - Work with insureds, brokers, carriers, claimants, defense counsel, surveyors, and internal team members to obtain missing information and move claims forward. - Prepare claim summaries, factual chronologies, document checklists, and initial analysis for review by the Head of Claims & Recoveries, or other assigned adjuster. - Assist with reserve recommendations, settlement evaluations, coverage issue-spotting, and claim strategy under the supervision of a licensed adjuster. - Support litigated claim files by helping gather carrier-vetting materials, contracts, communications, pleadings, discovery materials, defense counsel updates, and other litigation-support documents. - Maintain claim system accuracy, diary discipline, documentation standards, and timely file updates. - Develop technical claims knowledge in transportation, logistics, cargo, broker liability, coverage, reserving, litigation management, and claims best practices. Qualifications - Strong transportation, freight, logistics, carrier compliance, cargo claims, or brokerage operations experience. - Experience with carrier vetting, FMCSA compliance, carrier qualification, freight claims, cargo liability, theft, temperature-controlled freight, and transportation risk management is strongly preferred. - Highly organized and detail-oriented. - Comfortable with documents and timelines. - Capable of communicating professionally with insureds, brokers, carriers, counsel, and internal stakeholders. - A current adjuster license is preferred but not required if the candidate has the right transportation/logistics background and commits to obtaining the Texas adjuster license within the required timeframe. Requirements - Candidate must obtain a Texas adjuster license within six months of hire. - If not licensed at the time of hire, candidate must begin the licensing process within 30 days and complete a material licensing milestone within 90 days, such as completing required coursework, scheduling or sitting for the licensing exam, completing fingerprinting, or submitting the license application. Benefits - Comprehensive benefit and total compensation packages which could include health/dental/vision/life/disability insurance, FSA, HAS and 401(k) accounts. - Paid-time-off benefits such as vacation, sick, personal, floating holidays and company holidays. - Eligible annual bonuses, equity and commissions may be available for some positions.