Dimension Data

2 weeks ago

HC & Insurance Operations Sr Rep

✓ Verified Job

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

Source: Company careers pageValidated by: Fursa AI

Last checked: 18 hours agoStatus: Live

Job Summary

Process and review end-to-end healthcare insurance claims for a Florida health plan client, validating member and provider details and applying policy rules to determine accurate payment criteria. Maintain productivity, quality, and aging targets while scrutinizing medical claim documents and settlements. Support complex claim resolutions using established guidelines, building deep knowledge of healthcare insurance products and team processes. Work a Monday–Friday schedule with potential overtime/weekend requirements.

Location: Coimbatore

Workplace: Onsite

Employment Type: Full time

Job Function: Insurance & Actuarial

Seniority: Mid level

Key Responsibilities

•Review and process insurance claims end to end.
•Validate member, provider, and claim information and determine accurate payment criteria based on policy and procedures.
•Coordinate claim benefits according to policy and procedure and scrutinize medical claim documents and settlements.
•Maintain productivity goals, quality standards, and claim aging timeframes.
•Organize and complete tasks by assigned priorities, resolving complex situations using pre-established guidelines.

Key Requirements

•University degree or equivalent with formal studies of English and basic Math.
•6+ months of experience applying business rules to varying fact situations to make decisions.
•6+ months of data entry experience with a strong focus on quality, attention to detail, and accuracy.
•6+ months of experience using a Windows PC to navigate screens, use a keyboard, and learn new software tools.
•Experience prioritizing workload to meet deadlines.

Experience:0Healthcare insuranceBPO

Education:Bachelor's

Skills:CommunicationAttention to detailAccuracyAccountabilityTime management

Languages:English

Tech Stack:Windows

Company Brief

Dimension Data

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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Dimension Data

2 weeks ago

HC & Insurance Operations Sr Rep

✓ Verified Job

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

Source: Company careers pageValidated by: Fursa AI

Last checked: 18 hours agoStatus: Live

Job Summary

Location: Coimbatore

Workplace: Onsite

Employment Type: Full time

Job Function: Insurance & Actuarial

Seniority: Mid level

Key Responsibilities

•Review and process insurance claims end to end.
•Validate member, provider, and claim information and determine accurate payment criteria based on policy and procedures.
•Coordinate claim benefits according to policy and procedure and scrutinize medical claim documents and settlements.
•Maintain productivity goals, quality standards, and claim aging timeframes.
•Organize and complete tasks by assigned priorities, resolving complex situations using pre-established guidelines.

Key Requirements

•University degree or equivalent with formal studies of English and basic Math.
•6+ months of experience applying business rules to varying fact situations to make decisions.
•6+ months of data entry experience with a strong focus on quality, attention to detail, and accuracy.
•6+ months of experience using a Windows PC to navigate screens, use a keyboard, and learn new software tools.
•Experience prioritizing workload to meet deadlines.

Experience:0Healthcare insuranceBPO

Education:Bachelor's

Skills:CommunicationAttention to detailAccuracyAccountabilityTime management

Languages:English

Tech Stack:Windows

Company Brief

Dimension Data

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