Healthcare and Insurance Operations Associate Job at NTT DATA (Manila)

Physician Associate Student Clinical Rotation

This clinical rotation prepares Physician Associate students for ambulatory care...

Location

United States

Salary:

Not provided

CVS Health

Expiration Date

Until further notice

Requirements

Enrolled in a Physician Associate program that already has an executed Affiliation Agreement with MinuteClinic
Eligible for clinical rotation in states where MinuteClinic hires PAs
Program faculty verification of eligibility for clinical rotation at MinuteClinic
COVID-19 vaccination required (at least one shot prior to first day of employment)

Job Responsibility

Patient interaction
Use of EMR
Working in new model of health care
Learning clinic operations
Understanding public relations and marketing
Learning insurance procedures
Using evidence-based guidelines
Developing understanding of ambulatory care settings and healthcare delivery structure

What we offer

Specialized online training
Working with expert preceptors
Practical education including clinic operations, public relations, marketing, insurance procedures
Understanding corporate office support structure

BPO HC & Insurance Operations Associate

The BPO HC & Insurance Operations Associate role involves processing claims and ...

Location

India , Chennai

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

1-3 years of experience in claims adjudication
strong analytical and communication skills
ability to work independently
availability for evening shifts and potential overtime

Job Responsibility

Processing claims
resolving payment issues within the healthcare insurance sector

Operations Administrator

The Operations Specialist supports the day-to-day operational functions of the i...

Location

United States , San Diego

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or equivalent required
associate’s or bachelor’s degree preferred
2+ years of experience in operations, insurance administration, or process support roles
Experience in insurance, financial services, healthcare, or regulated environments preferred
Strong attention to detail and ability to work with high volumes of data and documentation
Proficiency in Microsoft Office Suite and insurance/operations systems
Excellent organizational, analytical, and problem-solving skills
Ability to manage multiple priorities in a deadline-driven environment
Strong written and verbal communication skills

Job Responsibility

Support operational workflows related to insurance policies, claims, and case processing
Review, process, and verify documentation for accuracy, completeness, and compliance
Maintain and update records within insurance and operations management systems
Identify process gaps, errors, or inefficiencies and escalate or recommend improvements
Coordinate cross-functional communication between operations, claims, underwriting, and service teams
Track operational metrics, service-level agreements (SLAs), and turnaround times
Assist with audits, quality assurance reviews, and compliance reporting
Prepare operational reports, summaries, and performance tracking as needed
Respond to internal and external inquiries related to operational processes
Support implementation of new procedures, systems, or process updates

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Hc & insurance operations associate

The Healthcare & Insurance Operations Associate role involves processing claims,...

Location

India , Chennai

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

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

Job Responsibility

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

Bpo hc & insurance operations senior associate

The Senior Associate in BPO HC & Insurance Operations will play a crucial role i...

Location

India , Chennai

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

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

Job Responsibility

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

Client Support Administrator

Brown & Brown Health & Employee Benefits are a leading intermediary specialising...

Location

United Kingdom , Blackburn

Salary:

Not provided

Brown & Brown UK

Expiration Date

Until further notice

Requirements

A working knowledge of the healthcare industry/products such as Private Medical Insurance, Health Cash Plans, Travel Insurance, Health Screening and associated pieces
Strong administrative skills, ideally developed within an insurance or financial services organisation with working knowledge of Microsoft products (Word, Excel, etc)
Strong Communication (Written, Verbal, Video), Administrative, Time Management and IT skills
Strong attention to detail
The availability to travel occasionally to other base offices or alternative location for the purpose of training or meetings

Job Responsibility

Providing high level administrative support to Consultants
Assisting with the management of policy memberships and liaising directly with insurers (adding/removing members, personal details changes etc.)
Provide assistance with the day to day operations of the office (post, filing, data entry and ensuring all documentation is issued on time and correctly
Updating and maintaining our CRM system
Ensure all data is handled securely and in line with GDPR and associated rules and regulations
Liaise with key stakeholders to maintain accurate records (Insurers, Consultants, Internal Management)
Maintain competencies compliant with FCA regulations

What we offer

Pension
Holiday
DIS
Private Medical
Cashplan
Access to the annual share save scheme
Fantastic working and team focused environment
Full support for ongoing professional development (including funding for qualifications – post probation)

Fulltime

Senior Director of Operations - PACE

Advance Your Career in Insurance Claims with Allied Universal® Compliance and In...

Location

United States , Dallas

Salary:

Not provided

Allied Universal®

Expiration Date

Until further notice

Requirements

Must possess one of the following: Bachelor’s degree in Healthcare Administration, Nursing, or Business
Associate’s degree in Healthcare Administration, Nursing, or Business and a minimum of eight (8) years of related experience in a healthcare leadership role
Minimum of three (3) years managing or directing an SIU insurance investigation program
Minimum of six (6) years of experience in a progressive healthcare leadership role
Ability to think strategically, make timely decisions and implement change
Ability to remain highly productive in a changing environment, possess strong attention to detail and well-developed organizational skills, and maintain a high level of discretion
Demonstrated proficiency in using subscription databases to search for relevant information on investigative assignments in support of the technical and professional staff of the SIU
Outstanding written and oral communication skills
Proficiency in Microsoft Outlook, Excel, Word, and PowerPoint

Job Responsibility

Oversight of SIU (Special Investigative Unit) Investigations team associated with the PACE contract
Use independent judgment to define and confirm client objectives (including due dates) on all new, reopen, and investigative referral cases
Provide consultation to the client using independent discretion to develop and implement an efficient, effective, and ethical investigation of an insurance claim
Ensure adherence to clear guidelines regarding company policies on privacy, compliance, and ethics
Ensure independently that the investigators assigned to complete the investigative tasks requested by the client have been given clear instruction on the client’s expectations at the time the case is approved
Maintain quality control after investigation is completed, ensuring that all client’s objectives have been addressed and achieved, and the billing applied to this work product falls within the standard billing schedule or client contract rates
Ensure team meets “reopen” sales goals on a monthly basis, creating accurate funding records for all items billable to the client
Use sound management, discretion, and independent judgment to resolve conflicts between clients and/or investigators
Handle customer complaints (negotiating as needed) and forward field operational issues to appropriate Vice President as needed
Provide daily updates to the clients within one business day after an investigative task has been completed, or per the client’s updating protocols set forth in a contract (if applicable)

What we offer

Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance
Seven paid holidays annually, sick days available where required by law
Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law
Employee Assistance Program
Employee Discount Program
Tuition Discount Program
Training & Career Development Programs

Fulltime

Database administrator

Data Quality Analyst, responsible for accurate retrieval, analysis, and correcti...

Location

United States , Atlanta

Salary:

Not provided

Ocean Blue Solutions

Expiration Date

Until further notice

Requirements

Associate's or Bachelor's degree in Health Information Technology, Computer Science, Healthcare Administration, or a related field
Minimum of 2 years of experience working with EHR systems, preferably Mylnsight by Nets mart
Proficient ,n SQC"for data querying ana report generation
Strong analytical and problem-solving skills
Experience with data cleanup and auditing workflows in a healthcare setting

Job Responsibility

Front Desk Data Validation and Correction
Utilize SQL queries and Mylnsight reporting tools to identify and correct front desk-related data entry errors
Perform routine audits for the following: Benefit Assignments: End-date outdated or incorrectly assigned benefits
Insurance Relationships: Ensure the insured relationship is correctly set to "Self"
Checkout Status: Investigate patients who have not checked out and apply corrective actions
Clinical Data Integrity: Analyze service records for completeness, accuracy, and compliance with billing requirements
Identify and correct: Document how data is currently being entered into Mylnsight
The primary objective is to develop a Standard Operating Procedure (SOP) for each program, which will serve as formal documentation to be shared with Patagonia
Missing Office and lab Visits in program services requiring both components
Billable Services lacking appropriate Evaluation & Management (E/M) or Office Visit codes

Healthcare and Insurance Operations Associate

NTT DATA

Location:
Philippines , Manila

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
February 14, 2026

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