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ntt data north america

HC & Insurance Operations Associate

ntt data north america
Chennai, India
1-3 Years
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  • Posted 2 days ago
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Job Description

Roles and Responsibilities:

  • Process Adjudication claims and resolve for payment and Denials
  • Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
  • Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
  • Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
  • Organizing and completing tasks according to assigned priorities.
  • Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
  • Resolving complex situations following pre-established guidelines

Requirements:

  • 1-3 years of experience in processing claims adjudication and adjustment process
  • Experience of Facets is an added advantage.
  • Experience in professional (HCFA), institutional (UB) claims (optional)
  • Both under graduates and post graduates can apply
  • Good communication (Demonstrate strong reading comprehension and writing skills)
  • Able to work independently, strong analytic skills
  • Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement.

More Info

Job Type:
Permanent Job
Industry:
Other
Function:
Healthcare Insurance
Employment Type:
Full time

Job ID: 148229315

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Last Updated: 23-05-2026 06:30:01 PM
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HC & Insurance Operations Associate

NTT Data
Chennai, India

Skills:

adjudication , Facets, Healthcare insurance policy concepts, Coinsurance, State variations, Deductible, Authorization, Duplicate pricing, Corrected claims process, Co-pay