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Added 2 hours ago
Senior Power Platform Developer (FTE / Onsite)
NTT DATA Services
Charlotte, NC
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NTT DATA Services
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Added 9 hours ago
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NTT DATA Services
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Added 1 day ago
QA Tester - Hybrid
NTT DATA Services
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Added 1 day ago
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NTT DATA Services
Plano, TX
Added 1 day ago
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NTT DATA Services
Plano, TX
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NTT DATA Services
Plano, TX
Added 1 day ago
Senior .NET Full stack Devloper
NTT DATA Services
Bala Cynwyd, PA
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NTT DATA Services
Charlotte, NC
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Senior Data Engineer
NTT DATA Services
Charlotte, NC

Closed listing

NTT DATA Services

HC & Insurance Operations Processing Sr Rep

Plano, TX, United States

This opening has closed.

The original listing is kept below for reference.

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About employer

Job details

Experience: 3 year(s) hands-on experience in Healthcare Claims Processing
Posting language: English
Posted: Sep 23, 2026

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Original job description

Archived listing. The details below describe a past opening.

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

About employer

More about this job

Skills

Claims processing
Confidentiality
Regulatory compliance
Work independently
Research
Microsoft Windows
Microsoft Office
Microsoft Outlook
Microsoft Word
Microsoft Excel
Troubleshooting
Problem solving
Time management

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