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NTT DATA Logo NTT DATA · Customer Service

Hc & Insurance Operations Associate

India, Coimbatore Employment contract · Job Posted May 10, 2026
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Job Description

The BPO Health Care and Insurance Operations Associate role at NTT DATA involves reviewing and processing insurance claims, validating information, and maintaining productivity goals. Candidates should have a university degree and 1-2 years of relevant experience in data entry and decision-making. The position requires strong attention to detail and familiarity with healthcare insurance processes. The work schedule is Monday to Friday, with potential overtime and weekend work based on business needs.

Job Responsibility

  • Review and process insurance claims
  • Validate Member, Provider and other Claims information
  • Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure
  • Coordination of Claim Benefits based on the Policy & Procedure
  • Maintain productivity goals, quality standards and aging timeframes
  • Scrutinizing Medical Claim Documents and settlements
  • Organizing and completing tasks per 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

  • University degree or equivalent that required formal studies of the English language and basic Math
  • 1-2 Year of experience where you had to apply business rules to varying fact situations and make appropriate decisions
  • 1-2 Year of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product
  • 1-2 Year of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools
  • 1-2 Year of experience that required prioritizing your workload to meet deadlines
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  • 1-3 years of experience in processing claims adjudication and adjustment process
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At NTT DATA, we know that with the right people on board, anything is possible. ...
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Not provided
nttdata.com Logo
NTT DATA
Expiration Date
Until further notice
Flip Icon
Requirements
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  • 0 -1 Year of experience in any Healthcare BPO
  • University degree or equivalent that required 3+ years of formal studies
  • Candidates with good typing skills with 25 WPM or completed typewriting lower preferred or good to have
  • 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools
  • Ability to work scheduled shifts from Monday-Friday 06:00 PM to 04:00 AM and to be flexible to accommodate business requirements
  • Ability to communicate (oral/written) effectively in English to exchange information with our client
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  • Read and understand the process documents provided by the customer
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Expiration Date
Until further notice
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  • Candidate should have min 6months – 1year experience
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Hc & Insurance Operations Associate

The HC & Insurance Operations Associate role at NTT DATA involves analyzing insu...
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  • 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
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  • Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
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Location
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nttdata.com Logo
NTT DATA
Expiration Date
Until further notice
Flip Icon
Requirements
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
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  • 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
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  • 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
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  • 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
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  • Resolving complex situations following pre-established guidelines
  • Fulltime
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