NTT

1 week ago

HC * Insurance Operations Associate

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Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 21 hours agoStatus: Live

Job Summary

Review, adjudicate, and process insurance claims by determining eligibility, coverage, and accurate payment. Interpret policy language, benefits schedules, and regulations; validate claim documentation; flag discrepancies, missing information, or potential fraud; and communicate claim decisions to customers, providers, and stakeholders. Maintain precise claim records, meet SLA targets, and support quality, compliance, and audit activities while adhering to privacy and confidentiality standards.

Location: Kansas City

Workplace: Remote

Employment Type: Full time

Job Function: Insurance & Actuarial

Key Responsibilities

•Review and adjudicate insurance claims to determine eligibility, coverage, and payment accuracy.
•Interpret policy language, benefits schedules, and governing regulations to ensure correct outcomes.
•Analyze claim documentation to verify completeness and accuracy.
•Identify discrepancies, missing information, or potential fraud and take appropriate action.
•Communicate claim decisions clearly and ensure claims are processed within SLAs while maintaining accurate records.

Pay and Benefits

Salary: USD 17 hourly

Perks:Health InsuranceDentalVision401kPaid Leave

Key Requirements

•6 months of experience in claims adjudication, insurance operations, or related roles.
•Experience in healthcare, disability, life, auto, or property & casualty claims (role dependent).
•6 months of work from home environment.
•High school diploma or GED.
•Available to work Monday–Friday 6:00 am CT to 6:00 pm (Central Time).

Experience:Insurance operationsClaims adjudicationHealthcareDisabilityProperty & casualty

Education:High School

Skills:Attention to detailAnalytical skillsCommunicationProblem-solvingDecision-making

Tech Stack:Claims processing systemsMicrosoft Office2-factor authenticationEthernet

Company Brief

NTT

Dimension Data, operating under NTT Ltd, provides managed IT services, cloud and data center solutions, networking, cybersecurity, and digital transformation services to enterprise customers worldwide.

Industry: Professional Services

Company Size: Enterprise (1,001+ employees)

Revenue: USD 1B+

Growth: Established Company

Valuation: Public Company (Market Cap in USD)

Headquarters: London, United Kingdom

Founded: 1983

Website LinkedIn

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NTT