HC and Insurance Operations Senior Representative

Title: HC & Insurance Operations Senior Rep.

Location: Plano United States

Job Description:

Req ID: 336322

NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a HC & Insurance Operations Senior Rep. to join our team in Plano, Texas (US-TX), United States (US).

This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short- and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.

Permanent Remote BPO Insurance Processor-

Wage: $17.50/hr

Basic Qualifications:

1 Year Office experience working from home

1 Year experience with Medical/Medicare claims processing

1 Year multi-program computer experience

Responsibilities:

• Determine claim processing protocols and apply the correct policies to the claim
• Interact with customers and internal departments to resolve issues and accurately process claims
• Properly adjudicate claims based on your knowledge of covered benefits, insurance and provider contracts
• Determine plan liability as well as diversion and recovery activity for claims

Training Required Schedule Availability is Monday-Friday 8:00 AM to 4:30 PM CST.

After Training Required schedule availability for this position flexible; Core hours are Monday - Friday, 6:30AM to 6:00PM CST. The shift timings can be changed as per client requirements and/or candidate preference. Additionally, resources may have to do overtime and work on weekend's basis business requirement.

Remote Working and Technology Requirements

To work remote, individuals must meet all the established Remote requirements including those pertaining to a home workspace and related technology.

Technology

NTT DATA will provide a computer and headset for remote work.

Employees are responsible for the care and security of all equipment provided. They must return it immediately upon separation from the company following company protocols.

Failure to return equipment may result in collection actions and/or other consequences.

Individuals must provide their own high speed internet access with speeds at or above 50 Mbps.

A hard-wired ethernet connection is required. Wi-Fi, mobile, wireless and public internet connections are forbidden as are connections outside of one's personal dwelling or location.

Technical Performance and Issue Tracking

Management monitors all technical issues and agent downtime. Consistent availability is critical to business operations.

Remote employees must adhere to all technical support procedures and protocols.

Chronic connectivity issues or recurring downtime that impede job performance, including internet outages, may result in the remote status changing to onsite.

Remote Workspace

Remote work demands a high degree of professionalism, self-discipline, and accountability. The following workspace standards are vital to delivering exceptional service.

Employees must have a dedicated, professional workspace conducive to servicing Customer Service customers with the same quality as an onsite environment.

The workspace must be a permanent, unencumbered location used daily for work.

Employees must work with minimal distractions that do not interfere with business operations or service delivery.

Ideally, the workspace is isolated from other household members and used exclusively for job duties.

Background noise, interruptions from people or pets, and other distractions must be kept to an absolute minimum to avoid disruptions to customer service.

Employees must work from the same location consistently unless prior approval is obtained.

If a change in work location is necessary:

The new location must meet all Remote Workspace and Technology Requirements.

Notification to NTT DATA Management is required before relocating

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About NTT DATA</p>

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. Visit us at us.nttdata.com