Claims Examiner - Xcelys Job at NTT DATA (Ontario)

New

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

New

Claims Examiner - Xcelys

We are currently seeking a Claims Examiner - Xcelys Remote, Temporary to join ou...

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

New

Sous Chef

As a sous chef, you are an expert at kitchen management, ensuring that it is a s...

Location

United Kingdom , Reading

Salary:

Not provided

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Kitchen management expertise
Experience in managing rotas, recruitment, and food safety/hygiene
Ability to split time between cooking, systems/procedures, and team development
Experience working with Head Chef on food operations, guest experience, and bookings/events

Job Responsibility

Oversee kitchen management, rotas, recruitment, and food safety/hygiene
Split time evenly between cooking, managing systems/procedures, and developing team
Work closely with Head Chef to advise on food operations, guest experience, and bookings/events

What we offer

50% discount for you and up to 5 guests at any restaurant
Free meals on shift
Birthday and day after guaranteed off
Education subsidies
Access to TRONC pot via TiPJAR
Wagestream (up to 50% live earnings withdrawal and discounts)
Hospitality Action support (financial and counselling)

Fulltime

New

Foh Roles – New Megan’s Opening In Oxford

This isn’t a standard application; it’s your chance to register your interest in...

Location

United Kingdom , Oxford

Salary:

13.50 - 16.00 GBP / Hour

Megan's by the Green

Expiration Date

Until further notice

Requirements

A genuinely warm personality (no robots, please)
A team-first mindset
The ability to stay cool when the brunch queue is out the door
Energy, effort, and a willingness to learn
Experience making cocktails if you want to work behind our vibrant bar

Job Responsibility

Welcoming guests
Delivering great service
Making sure every visit feels like a little bit of sunshine
Creating the vibe from day one

What we offer

50% off when you dine with your favourite people
Proper team socials
Employee Assistance Programme - free, confidential support 24/7
Early access to your pay through Stream
Long service awards
Free, delicious Megan’s food & drinks on shift
Pension
Real training & progression - we promote from within
Fully funded qualifications
Opportunities to move across our restaurants

New

Account Specialist

The Account Specialist is responsible for supporting strategic sales and account...

Location

United States of America , Waukesha

Salary:

Not provided

Elevance Health

Expiration Date

May 09, 2026

Requirements

BA/BS and a minimum 3 years of related experience
or any combination of education and experience which would provide an equivalent background
Sales license required where necessary or the ability to obtain within 60 days of hire.

Job Responsibility

Builds external relationships with existing accounts, members, and brokers
Develops understanding of client needs and priorities
Manages complex sales, claims, and benefit issues by researching, resolving, and responding to accounts, members and brokers
Conducts meetings with clients to educate, promote, persuade, and drive opportunities for additional growth and product sales
Communicates with internal partners to assist with upsells
Partners with sales support associates on request for proposal (“RFP”) responses to brokers and groups
Updates systems for proposal and sales activities
Collaborates with internal stakeholders to meet and exceed client expectations
Supports internal and external client reporting, as needed
Acts on behalf of Strategic Account associate to respond to client needs, as necessary

What we offer

Merit increases
paid holidays
Paid Time Off
incentive bonus programs
medical
dental
vision
short and long term disability benefits
401(k) +match
stock purchase plan

Fulltime

!

New

MSR Senior Analyst

The MSR Senior Analyst, reporting to the Mortgage Servicing Rights (MSR) Portfol...

Location

United States , Glen Allen; Plano; Westwood; Iselin; Johnston

Salary:

Not provided

Citizens Bank

Expiration Date

Until further notice

Requirements

Bachelor’s Degree in Business or quantitative field (Finance, Science, Engineering, or Math)
3-5 years of professional experience in a Banking or Finance role consisting of data analysis, financial modeling, and reporting
Strong computer skills including basic ability to program in SQL, VB, and Excel
Strong problem-solving skills with experience providing insights and recommendations from large data sets
Ability to work effectively in a dynamic environment and to adapt while focusing on key goals and objectives
Ability to manage and develop cross-functional relationships
Project management skills, including the ability to handle multiple projects in a fast-paced environment

Job Responsibility

Data preparation, modeling, analysis, and reporting including daily MSR Hedge P&L
MSR Transaction support to include data preparation, PMSR bid preparation, MSR sale selection, proforma reporting of deal impact on MSR P&L and forecast
Ensure accuracy of results and analytic methods through testing and validation of underlying report data
Ensure bias and data quality issues are resolved or explained
Work with team of MSR Valuation Managers to identify and execute process improvements including automation
Create, synthesize and present customized data requests, transforming data into a story that informs both high level strategy and tactical decision-making
Manage many priorities with minimal oversight
Plan and prioritize to meet deadlines in conditions that may change rapidly or involve ambiguity

What we offer

comprehensive medical, dental and vision coverage
retirement benefits
maternity/paternity leave
flexible work arrangements
education reimbursement
wellness programs
annual discretionary bonus

Fulltime

New

Injection Molding Technician

Do you have a passion for technology and enjoy working in an innovative environm...

Location

Belgium , Tamise

Salary:

Not provided

Randstad

Expiration Date

July 14, 2026

Requirements

A completed degree in electromechanics, mechanics, or plastics technology, or an equivalent level obtained through relevant work experience
Several years of experience in a similar technical role within a modern production environment
Thorough knowledge of injection moulding techniques, including setting up, converting, and fine-tuning machines
The ability to think analytically and quickly understand technical malfunctions to formulate appropriate solutions
A precise work attitude with a keen eye for detail and a passion for process improvement
Willingness to work in a rotating three-shift system to ensure continuity.

Job Responsibility

Closely monitoring technical malfunctions and alarms to keep production on track and minimize downtime
Independently starting up, correctly setting up, and converting injection moulding machines and moulds according to the production schedule
Monitoring the quality of produced parts through regular checks and measurements
Actively contributing to the optimization of the production process by suggesting technical improvements
Close collaboration with fellow technicians and production staff for smooth and efficient operations
Ensuring a safe, orderly, and clean working environment according to the applicable standards.

Fulltime

New

In Store Team Member

As an Instore Team Member, you’ll be at the heart of our store, making delicious...

Location

United Kingdom , Wilton

Salary:

11.50 - 14.35 GBP / Hour

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Positive, can-do attitude and a passion for great customer service - No previous experience required - full training and induction provided
Able to work quickly and efficiently, especially during busy periods
Good communication skills and a team player
Attention to detail and pride in your work
Willingness to learn and take on new challenges
Right to work relevant to store location
This role involves periods of standing, lifting, carrying, and reaching. You may also work in hot environments (near ovens) and cold environments (walk-in fridges) and occasionally outdoors (e.g. refuse disposal, deliveries).

Job Responsibility

Prepare pizzas and side items to Domino’s high standards
Serve customers face-to-face and by phone, taking orders and payments
Maintain food hygiene and safety standards at all times
Support with cleaning, restocking and general store duties
Contribute to local marketing activities (e.g. leaflet drops, events)
Work flexibly across shifts, including evenings and weekends

What we offer

Competitive hourly pay (with opportunities for progression)
30 days paid holiday per year (includes BH, pro rata for part time)
Flexible working hours to suit your lifestyle
Staff discount on our delicious food
Participation in the pension MyFutureFund scheme
Family Leave policies in place
Paid training and clear career progression pathway with linked pay increases
Supportive, inclusive, and fun team environment
Employee recognition opportunities

Claims Examiner - Xcelys

NTT DATA

Location:
United States , Ontario

Category:
IT - Software Development

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
May 04, 2026

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