Claims Examiner - Xcelys Job at NTT DATA (Ontario)

Claims Examiner - Xcelys

The Senior Claims Examiner role at NTT DATA involves adjudicating medical claims...

Location

United States , Ontario

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

5+ years claims adjudication experience
2 years’ experience in Xcelys or equivalent claims adjudication systems
2 years’ experience (CPT, ICD-10, HCPCS)
1 year experience with system testing and documentation
Deep knowledge of provider contracts, pricing, regulatory guidelines
Excellent analytical and communication skills
Experience training staff or acting as a mentor
Ability to manage high-volume workload and meet performance metrics

Job Responsibility

Process comprehensive medical claims using Xcelys and associated subsystems
Resolve complex pends, coding issues, and contract exceptions
Author overpayment/underpayment determinations and coordinate appeals
Engage in quality reviews, audits, root cause analyses
Monitor accuracy, variance, and rework metrics
Ensure alignment with regulatory and internal compliance guidelines
Act as escalation point and subject matter expert
Participate in system testing, UAT, and workflow enhancements
Recommend improvements, document system and process changes
Prepare production, pending, and quality reports

Claims Examiner - Xcelys

The Claims Examiner position at NTT DATA requires a minimum of 3 years of claims...

Location

United States , Ontario

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

3+ years claims adjudication experience
Minimum of 1 year experience in Xcelys
2+ years in coding (CPT, ICD-10, HCPCS)
2+ years provider contracts, pricing, regulatory guidelines experience
Verifiable high school diploma or GED

Job Responsibility

Process comprehensive medical claims using Xcelys and associated subsystems
Resolve complex pends, coding issues, and contract exceptions
Author overpayment/underpayment determinations and coordinate appeals
Engage in quality reviews, audits, root cause analyses
Monitor accuracy, variance, and rework metrics
Ensure alignment with regulatory and internal compliance guidelines
Act as escalation point and subject matter expert
Participate in system testing, UAT, and workflow enhancements
Recommend improvements, document system and process changes
Prepare production, pending, and quality reports

Fulltime

Traffic Management CAD Technician

FM Conway is currently recruiting a Traffic Management CAD Technician to join ou...

Location

United Kingdom , Ipswich

Salary:

Not provided

360 Resourcing Solutions

Expiration Date

July 04, 2026

Requirements

Strong knowledge of Traffic Management operations
experience using CAD, BricsCAD and Cone 11 software
ability to read and translate blueprints and technical drawings
ability to work well under pressure, prioritise tasks effectively and have excellent attention to detail
M7 Lantra qualification is highly desirable, but not essential

Job Responsibility

Working within a team of Traffic Management development designers and Project Engineers to ensure that drawings are to a high and legal standard
Producing clear drawings, signage placement layouts and diversion route strategies
Developing safe and efficient traffic management plans for work sites and road network
Carrying out on site assessments as required
Designing sites in accordance with Chapter 8 TSM
Engaging with Project Teams & Engineers to respond effectively to working methods that require traffic Management designs that conform to a legal standard

What we offer

Career and professional development
23 days holiday plus bank holidays
Life assurance
Opportunities for internal and external training
Access to a wide range of shopping discounts through Rewarding Great People platform
Health and well-being benefits including 24-hour advice lines
Support from in-house mental health first aiders

Fulltime

Registered Nurse, CVOR

Baptist Downtown is hiring a Registered Nurse for our Cardiovascular Operating R...

Location

United States , Jacksonville

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

1-2 years Operating Room Nursing Experience Required
Basic Life Support (BLS) Required
Advanced Cardiac Life Support (ACLS) Required
Licensed Registered Nurse Required
Associate of Science, Nursing
Registered Nurse (RN) - State Nursing Boards
Driver's License - DMV
Basic Life Support (BLS) - AHA
Advanced Cardiac Life Support (ACLS) - AHA

Job Responsibility

Providing for patient needs as recognized through use of the nursing process
Supervision of care provided by supportive personnel and coordination of care provided by ancillary services
Including patients and significant others (SO)/families in developing an individualized plan of care
Education of patients/SO/families to their disease process and plan of care
Coordinating and preparing assigned operating room/case
Assessment of patient care needs and the anticipation of needs of the case
Circulating, scrubbing, assisting on Cardiothoracic and vascular procedures

Fulltime

Pediatric Occupational Therapist

Wolfson Children's Hospital Rehab Services is hiring a Pediatric Occupational Th...

Location

United States , Jacksonville

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

Bachelor's degree (or higher) in Occupational Therapy Required
Licensed Occupational Therapist from FL Department of Health Required
Basic Life Support (BLS) certification from the American Heart Association Required
Pediatric Occupational Therapy in the outpatient setting is strongly preferred

Job Responsibility

Evaluates and treats patients with developmental, neurological, orthopedic, and medical diagnoses
Extensive patient/family education
Works with multidisciplinary team care

What we offer

$1,000 Sign on Bonus

Nursery Manager

Join the Kindred Family – Lead, Inspire, and Make a Difference. Are you an exper...

Location

United Kingdom , Hauxton

Salary:

34000.00 - 36000.00 GBP / Year

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Proven experience in leading and managing a team within early years
Strong written and verbal communication skills
Excellent organisational skills and attention to detail
Outstanding customer service and time management
Full and relevant Early Years Level 3 Childcare Qualification or higher
Sound knowledge of EYFS and OFSTED guidelines

Job Responsibility

Lead the Deputy Manager, Third in Charge, and Room Leaders to ensure high standards of Early Years care and education
Maintain an organised, safe, and stimulating nursery environment
Keep accurate records and ensure procedures are followed across the nursery
Build and maintain a reputation as the nursery of choice for children and staff
Model and monitor best practice in line with regulatory guidelines
Inspire and support your team, overseeing inductions, mentoring, and ongoing development
Ensure the nursery runs efficiently, meets KPIs, budgets, and targets, and is prepared for audits and inspections
Oversee the day-to-day operations of the nursery
Lead by example, modelling good practice and creating a shared vision
Supervise, support, and allocate tasks to your team

What we offer

Birthday Off
6 Fully Paid Sick Days
Cashback Healthcare Plan
Retail Discounts
Recognition & Reward Scheme
50% Childcare Discount
24/7 Virtual GP Access
24/7 Counselling Support
Discounted Gym Membership
Personal Financial Advisor Access

Fulltime

Waiter

We are looking for enthusiastic and service-oriented Waiters (Part-time 20 hours...

Location

United Kingdom , London

Salary:

Not provided

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Previous experience in a restaurant, café, or hospitality environment is essential
Strong communication and interpersonal skills with a friendly, positive attitude
Ability to work in a fast-paced environment while maintaining excellent customer service
Attention to detail and a commitment to high standards
Well-presented with a professional appearance and good personal hygiene
Willingness to learn and adapt in a new and exciting restaurant setting
Availability to work flexible hours, including evenings, weekends, and holidays

Job Responsibility

Welcome and seat guests, ensuring a warm and professional dining experience
Provide detailed knowledge of the menu, ingredients, and specials to assist guests with their choices
Take accurate food and drink orders and communicate effectively with the kitchen and bar staff
Serve food and beverages efficiently, ensuring guests’ needs are met promptly
Maintain cleanliness and organization of tables and service areas
Ensure compliance with restaurant dress code and hygiene standards
Work collaboratively with colleagues to ensure smooth service and excellent customer satisfaction
Handle guest requests and feedback professionally and efficiently
Attend training sessions and team meetings as required
Perform additional duties as assigned by the Restaurant Manager

What we offer

Competitive salary with service charge and staff benefits
Training and development opportunities to help you grow in the hospitality industry
A positive and supportive team environment with room for career progression

Parttime

Sales Consultant

Want to be part of a high-energy team that works hard, has fun whilst doing it a...

Location

United Kingdom , Northampton

Salary:

50000.00 - 60000.00 GBP / Year

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

You want to be here
want to do well
want to be heard
A team player with a strong work ethic
Happy to work weekends and deliver on our busiest sales days
Reliable, organised and confident in customer service and sales
Comfortable using systems and following processes with confidence in problem solving
Proud of your work and passionate about doing things right

Job Responsibility

Be the face of the store
Greet customers and build a rapport to understand their needs
Create an awesome end-to-end experience for all customers
Work towards individual and team sales targets
Communicating clearly and confidently with your team
Following health & safety procedures at all times
Making a difference every day to the customer experience

What we offer

Competitive package: £25,500 plus £200 a week commission guarantee for first 13 weeks
OTE £50,000 - £60,000+
Work for an award-winning, family-run business
Annual Family Partnership celebration – recognising YOU!
Innovate & Grow: clear career path, full training and personal development opportunities
Staff discount
24/7 medical support, health insurance and Perkbox benefits
28 days holiday entitlement including bank holiday, increase to a maximum of 33 days based on length of service

Fulltime

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Claims Examiner - Xcelys

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Claims Examiner - Xcelys

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