HC & Insurance Operations Associate

NTT
Chennai
Workplace: OnsiteFull timeFunction: Insurance & ActuarialEducation: bachelorsSkills: ["Attention to detail","Accuracy","Accountability","Communication","Case escalation"]

Review healthcare insurance claim rules, workflows, and requests to determine eligibility for processing. Resolve complex cases using pre-established guidelines, escalate exceptions to management, and complete tasks based on assigned priorities. Build and maintain working knowledge of the US healthcare insurance industry and the team’s products, services, and processes, while working scheduled shifts and communicating effectively in English with clients.

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FursaFursa
NTT
NTT
1 month 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: 1 day agoStatus: Live
Reposted: first listed 2 weeks ago

Job Summary

Review healthcare insurance claim rules, workflows, and requests to determine eligibility for processing. Resolve complex cases using pre-established guidelines, escalate exceptions to management, and complete tasks based on assigned priorities. Build and maintain working knowledge of the US healthcare insurance industry and the team’s products, services, and processes, while working scheduled shifts and communicating effectively in English with clients.
Location: Chennai
Workplace: Onsite
Employment Type: Full time
Job Function: Insurance & Actuarial
Seniority: Mid level

Key Responsibilities

  • •Review claim rules and workflows to support processing.
  • •Review claim requests to determine eligibility for processing and escalate cases to management when needed.
  • •Organize and complete tasks according to assigned priorities.
  • •Develop and maintain a working knowledge of the healthcare insurance industry and the team’s products, services, and processes.
  • •Resolve complex situations by following pre-established guidelines.

Key Requirements

  • •University degree (or equivalent) with 3+ years of formal studies.
  • •2+ years of experience processing claims for the US healthcare market.
  • •Ability to understand payment posting logic (payments, denials, adjustments, etc.).
  • •1+ year of experience using Windows PC applications (keyboard navigation and learning new tools).
  • •1+ year of data entry experience with a focus on quality, attention to detail, accuracy, and accountability.
Experience:Healthcare insuranceUS healthcare
Education:Bachelor's
Skills:Attention to detailAccuracyAccountabilityCommunicationCase escalation
Languages:English
Tech Stack:WindowsWindows PC applications

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
WebsiteLinkedIn