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Claims Processor
NTT DATA - Decatur, IL
posted 2 months ago
About the position
The Claims Examiner position at NTT DATA Services is a remote role focused on the accurate and efficient processing of claims within the Employee Benefits Division. The role involves registering, processing, and adjudicating claims, ensuring compliance with established timelines and procedures. The Claims Examiner will work closely with providers and case management to resolve issues and assist with audits, contributing to the overall effectiveness of the claims processing team.
Responsibilities
- Process all claims for assigned group(s) within ten days of receipt.
- Complete forms for over specific claims, including printing EOBs, pulling claims, and copying claims.
- Contact providers and case management company for information regarding problem claims.
- Print/mail EOBs and claim forms requested by providers and insured members.
- Assist with audits for assigned group.
- Assist with claims processing and over specific for new or backlogged groups.
Requirements
- High School Education required.
- 3 Years of Claims Processing Experience.
Nice-to-haves
- TPA Experience Preferred: Experience in the GBAS system
- Experience processing Dental Claims.
Benefits
- Remote work opportunity
- Competitive hourly wage ($22 - $24/hourly)
