[Remote] Insurance Claims Analyst - Remote

Note: The job is a remote job and is open to candidates in USA. NTT DATA North America is committed to attracting and growing the best talent in a people-focused environment. The Claims Analyst is responsible for efficiently adjudicating health and dental claims while maintaining departmental standards and ensuring compliance with corporate policies.

Responsibilities

• Analyze historical data and assess relevant group policy and/or provincial guidelines to adjudicate claims related to Dental, Para-Medical, Hospital, and Drug benefit types
• Determine applicable insurance benefit payout for each claim as required
• Demonstrate good judgement and confidence with respect to adjudication decisions
• Ensure daily production meets the set standards of 100%, above required data entry/adjudication targets as outlined
• Ensure daily accuracy rates meet company standards as per the departmental contract
• Work as a team player to ensure daily targets are achieved
• Maintain accurate and complete record keeping and reporting as required
• Support the Trainer in areas of Floor Support, and assistance with employee enquiries as required
• Adhere to all corporate and client confidentiality agreements and policies
• Work in a co-operative, courteous and supportive manner at all times

Skills

• Minimum data entry speed of 8,000 keystrokes per hour, minimum Accuracy Rate of 99%
• Ability to analyze data and make informed decisions
• Ability to recognize errors and undertake corrective processes
• Dependable and dedicated with strong work ethics
• Detail-oriented, multi-tasker
• Act as a SWAT team member by attending client conference calls as needed
• Ability to support and relay relevant information to coworkers
• Ability to perform under stressful conditions such as directional changes, tight deadlines, and limited resources
• Work patiently and effectively with team deadlines, structures, and peers

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