Remote Claims Processing Associate Job at NTT DATA (Plano)

New

Remote Claims Processing Associate

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our...

Location

United States , Plano

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

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 – Toggling back and forth between screens/can you navigate multiple systems
Working knowledge of MS office products – Outlook, MS Word and MS-Excel

Job Responsibility

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

New

Remote Claims Processing Associate

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our...

Location

United States , Plano

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

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 – Toggling back and forth between screens/can you navigate multiple systems
Working knowledge of MS office products – Outlook, MS Word and MS-Excel

Job Responsibility

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

New

Remote Claims Processing Associate

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our...

Location

United States , Plano

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

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 – Toggling back and forth between screens/can you navigate multiple systems
Working knowledge of MS office products – Outlook, MS Word and MS-Excel.

Job Responsibility

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

New

Remote Claims Processing Associate

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our...

Location

United States , Plano

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

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 – Toggling back and forth between screens/can you navigate multiple systems
Working knowledge of MS office products – Outlook, MS Word and MS-Excel.

Job Responsibility

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

New

Remote Claims Processing Associate

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our...

Location

United States , Plano

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

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 – Toggling back and forth between screens/can you navigate multiple systems
Working knowledge of MS office products – Outlook, MS Word and MS-Excel.

Job Responsibility

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

New

Remote Claims Processing Associate

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our...

Location

United States , Plano

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

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 – Toggling back and forth between screens/can you navigate multiple systems
Working knowledge of MS office products – Outlook, MS Word and MS-Excel.

Job Responsibility

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

Claims EDI Helpdesk Support

This is a remote position. Our Client is seeking a dedicated and customer-focuse...

Location

United States

Salary:

Not provided

RADcube

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
associate degree or higher preferred
1+ years of experience in customer service, helpdesk support, or healthcare claims processing
Familiarity with EDI formats (e.g., 837, 999, 277CA) and Medicaid claims systems is a plus
Strong verbal communication skills and phone etiquette
Ability to work independently in a remote environment with minimal supervision
Proficiency in Microsoft Office and helpdesk ticketing systems
Must be able to successfully pass a background check with no felony convictions
Must be eligible to pass a DOI (Department of Insurance) compliance screening, as required by the client and Indiana Medicaid program

Job Responsibility

Respond to inbound calls and emails from providers and trading partners regarding EDI claim submissions, rejections, and processing issues
Troubleshoot and resolve technical issues related to electronic data interchange (EDI) formats, transactions, and connectivity
Document all interactions and resolutions in the appropriate tracking systems
Collaborate with internal teams to escalate and resolve complex issues
Educate callers on EDI processes, requirements, and available resources
Maintain up-to-date knowledge of Indiana Medicaid policies

Fulltime

Customer Care Associate

The Customer Care Associate role involves providing exceptional support to life ...

Location

United States , Las Cruces

Salary:

20.00 USD / Hour

NTT DATA

Expiration Date

Until further notice

Requirements

1 year experience (WAH) remote customer service
1 year experience working in an office setting, multitasking online with multiple Microsoft Windows PC applications
Minimum High school diploma or GED
Spanish Bilingual
Must Live in Continental United States
Must Pass Drug screen
Must Pass a background check with Education check and employment verification check
All new hires will be required to successfully complete our Call Center training classes and demonstrate proficiency of the material
New hire must have a working device (such as cell phone or tablet) for the 2-Factor Authentication process
To work remote, individuals must meet all the established Remote requirements including those pertaining to a home workspace and related technology

Job Responsibility

Previous life insurance industry experience that required knowledge of life insurance and annuity policies where you handled calls from policy holders inquiring about payments, policy information, or claims to support callers with various questions on different life insurance products
Providing front-line phone customer care support to policyholders, beneficiaries, agents, and internal customers
Ensuring customer satisfaction (CSAT) and strive to meet service metrics
Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by the team
A typical day will likely involve fielding between 75 to 100 calls
Communicating effectively and professionally with both internal and external customers to resolve questions and issues
Collaborating with management or other team members as appropriate to proactively address service issues and concerns
Attention to detail, accuracy, and accountability for your work product
Designated quiet area to complete calls while working from home

What we offer

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
additional voluntary or legally required benefits

Fulltime

Remote Claims Processing Associate

NTT DATA

Location:
United States , Plano

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 17, 2026

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