Medical Claims Processor Job at NTT DATA (Plano)

Bpo transaction quality assurance analyst

The BPO Transaction Quality Assurance Analyst will play a vital role in reviewin...

Location

India , Chennai

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

Any Bachelor’s degree
A minimum of 3 years of experience as a Transactional Quality Auditor/MIS specialist/Quality associate involved in implementation of basic Quality framework elements
Experience with Life Insurance Claims and Policy Administration
Demonstrates a strong understanding of claims business process redesign/reengineering, gap analysis, functional vs technical specifications, and change management
Ability to collate data/information from different sources and work on Management Reports without any error
Excellent communication skills (written and verbal) to clearly articulate business requirements to technical & development teams
Knowledge of process mapping tools – MS Visio and Lucid Charts, Excel and Power Point
Lean Six Sigma
Experience working in an Agile environment
Experience with Salesforce or other case management systems' modernization

Job Responsibility

Review claims transactions and provide feedback to claims processors
Improve process efficiency & quality for existing and new processes through analysis and design of workflows and business processes
Review medical documents, policy documents, policy history, claims history, system notes and apply the trained client level business rules to ensure that processors make appropriate Claims decisions, call out claims trends and flag fraud activities
Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function
Perform functional analysis of the current business process and supporting documentation
Identify process improvements and facilitate reengineering of business processes
Create process and value stream map for existing and new business processes
Assist in establishing and maintaining standard operating procedures and knowledge transfer documentation on various functionalities
Be a team player and work seamlessly with other team members on meeting customer goals

Fulltime

Bpo transaction quality assurance analyst

The BPO Transaction Quality Assurance Analyst is responsible for reviewing claim...

Location

India , Chennai

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

Any Bachelor’s degree
A minimum of 3 years of experience as a Transactional Quality Auditor/MIS specialist/Quality associate involved in implementation of basic Quality framework elements
Experience with Life Insurance Claims and Policy Administration
Demonstrates a strong understanding of claims business process redesign/reengineering, gap analysis, functional vs technical specifications, and change management
Ability to collate data/information from different sources and work on Management Reports without any error
Excellent communication skills (written and verbal) to clearly articulate business requirements to technical & development teams
Knowledge of process mapping tools – MS Visio and Lucid Charts, Excel and Power Point
Lean Six Sigma
Experience working in an Agile environment
Experience with Salesforce or other case management systems' modernization

Job Responsibility

Review medical documents, policy documents, policy history, claims history, system notes and apply the trained client level business rules to ensure that processors make appropriate Claims decisions, call out claims trends and flag fraud activities
Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function
Perform functional analysis of the current business process and supporting documentation
Identify process improvements and facilitate reengineering of business processes
Create process and value stream map for existing and new business processes
Assist in establishing and maintaining standard operating procedures and knowledge transfer documentation on various functionalities
Be a team player and work seamlessly with other team members on meeting customer goals

Fulltime

Senior Claims Processor

The Customer Experience Administrator (CEA) is a field-based role reporting to t...

Location

United States , Sparks

Salary:

18.00 - 24.00 USD / Hour

MillenniumSoft Inc

Expiration Date

Until further notice

Requirements

At least 5 years of experience in a customer service/customer facing role
High School diploma or equivalent
Must be proficient in Microsoft word, excel, PowerPoint and be able to utilize computer based tools for reports, email and general communication
Ability to work both individually and in team setting
Must be able to interface with customers, peers and support personnel in a positive manner as well as the ability to think and act in a logical and methodical way
Excellent verbal, written, and organizational skills
Good problem-solving and critical thinking skills
Flexibility to travel up to 50% of time outside of home geographic area, based upon business needs
Must be able to lift up to 30lbs frequently and up to 70lbs infrequently
Adhere to all PPE (Personal Protective Equipment) standards/guidelines required by company policy

Job Responsibility

Drive Net Promoter Scores (Customer Satisfaction) higher
Improve communication between customers and the Field Service Engineers
Follow up with customers after service has been completed to ensure that all needs were met or exceeded
Manage company assets including, cell phone, computer, tablet, etc
Establish and foster positive business relationships with customers and peers
Perform administrative duties including, but not limited to, recording time worked, training, etc
Provide ongoing feedback to customers in regards to instrument repair and status
Work closely with district team leads and dispatch to schedule and support customer base
Satisfactorily complete training in Salesforce, ServiceMax, and Qualtrics

Fulltime

New

Claims Processor

Are you ready to be part of a WINNing team at Winn Group, a leading North East b...

Location

United Kingdom , Newcastle

Salary:

26000.00 - 29000.00 GBP / Year

Winn Group

Expiration Date

Until further notice

Requirements

Attention to detail and accuracy
Time management and organisation skills
Experience of working towards deadlines and performance objectives
Experience of demonstrating effective teamworking within a commercial environment

Job Responsibility

Build a positive relationship with each client whilst processing the claim, helping manage their expectations and delivering the right outcome
Ensure accuracy in all aspects of Claims Processing including, but not limited to: Hire reviews, engineer reports and storage Instructions, total loss reports, Impecuniosity pre-checks and open banking signup and medical Instructions
Assisting Case Handlers with their claims to ensure the department is up to date
Accurately record any key FNOL information for Road Traffic Accident onto our case management system
Assisting with FRT incoming calls overflow

What we offer

25 days holiday plus bank holidays
Additional birthday holiday
Options to buy or sell holidays (subject to eligibility)
Funded learning initiatives
SQE Apprenticeships
Training Contracts (subject to application)
Flexible working hours
On-site parking (subject to availability)
Corporate Metro Scheme
Bike to Work Scheme

Fulltime

New

Principal Mechanical Engineer

Microsoft Cloud Operations and Innovation (CO&I) is the team behind the cloud. W...

Location

United States , Redmond

Salary:

139900.00 - 274800.00 USD / Year

Microsoft Corporation

Expiration Date

Until further notice

Requirements

Doctorate in Mechanical Engineering, or related field AND 3+ years related technical engineering experience OR Master's Degree in Mechanical Engineering, or related field AND 4+ years related technical engineering experience OR Bachelor's Degree in Mechanical Engineering, or related field AND 6+ years related technical engineering experience OR equivalent experience
Ability to meet Microsoft, customer and/or government security screening requirements
This position requires verification of US Citizenship to meet federal government security requirements

Job Responsibility

Serve as a global Datacenter Mechanical Subject Matter Expert (SME) for Microsoft, providing technical leadership across Microsoft’s worldwide datacenter portfolio
Support the Datacenter Technical Excellence (DCE) program and associated global initiatives and projects
Set and drive global technical direction for internal DCE mechanical SMEs as well as external engineering consultants
Provide consistent, visible technical leadership supported by clear, effective communication
Manage multiple concurrent initiatives with minimal oversight while maintaining delivery quality and alignment
Lead and support weekly Mechanical SME forums with deployment teams to establish technical direction and align priorities
Develop executive‑level presentations and communicate regularly with senior leadership on strategic direction and complex technical topics
Define, refine, and continuously improve mechanical engineering processes, standards, procedures, and documentation
Collaborate cross‑functionally with diverse stakeholders to deliver and continuously enhance Microsoft’s global mechanical design strategy
Partner effectively with technical and non‑technical teams in a fast‑paced environment to drive cross‑group collaboration and stakeholder alignment

Fulltime

New

Head of Marketing

This is an important leadership role within our high-performing, award-winning H...

Location

United Kingdom , London

Salary:

Not provided

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Experience with email marketing and industry-leading ESPs, ideally HubSpot and Salesforce
Understanding of customer segmentation and optimising cross-sell, up-sell, win-backs, new business and cross-divisional opportunities
Collaborative approach and experience working effectively with cross-functional teams
Ability to manage multiple projects in a schedule-driven, fast-paced environment
Excellent organisational and communication skills
Ability to assess and prioritise campaigns based on business requirements
Be an experienced performance marketer
A positive and ‘can-do’ attitude
Ability to work across different brands and projects
Takes initiative and communicates clearly and efficiently with key stakeholders

Job Responsibility

Develop and implement a global marketing content and campaign strategy to deliver double-digit year-on-year growth (Sales/revenue/attendees) and optimise the quality of our audiences
Streamline and optimise the customer journey and build retention campaigns to deliver 80% retention across all of our events
Open up new revenue streams (for example delegate revenue) to deliver double- digit year on year new logo growth (Sponsors/Exhibitors/attendees)
Effectively optimise and integrate multiple channels for all marketing campaigns, including social media, email, telemarketing and partnerships
Define and deliver a strategy for managing and growing our marketing database and list-building/targeting campaigns and ROI
Ensure a structured campaign analytics framework, across all channels, is updated and monitored to determine, communicate and build on measurable ROI of all activity
Ensure marketing best practice is implemented for all channels
Deliver multi-channel marketing campaigns that are data-driven, with a focus on increasing audience acquisition
Build and maintaining excellent working relationships with stakeholders

What we offer

Benefits across health, finances, fitness, travel, tech and more

Fulltime

New

Digital Solution Area Specialist

Join Microsoft as a Digital Solution Area Specialist. In this individual-contrib...

Location

United States , Las Colinas

Salary:

40.96 - 80.96 USD / Hour

Microsoft Corporation

Expiration Date

Until further notice

Requirements

Bachelor's Degree in Information Technology, Business Administration, or related field AND 5+ years of technology-related sales or account management experience OR 6+ years of technology-related sales or account management experience
Master's Degree in Business Administration (e.g., MBA), Information Technology, or related field AND 5+ years of technology-related sales or account management experience OR Bachelor's Degree in Information Technology, or related field AND 6+ years of technology-related sales or account management experience OR 8+ years of technology-related sales or account management experience
3+ years of solution sales or consulting services sales experience

Job Responsibility

Collaborates with partners and resources and leverages customer insights or industry knowledge
contributes to exploring business and emerging opportunities to optimize the portfolio and support customer innovation
Engages with internal and external stakeholders on business planning, rhythm-of-business (ROB) meetings to review and plan for accounts in the assigned territory
Manages the end-to-end business of the assigned territory
conducts forecasting for accounts and develops a portfolio and territory plan to drive intentional selling aligned with strategic priorities
Reviews feedback report and coaches others on ensuring customer/partner satisfaction and decreasing dissatisfaction by establishing recovery action plans to improve clients' overall experience
manages and/or orchestrates sales and delivery success through the account team and pursuit team
Collaborates with team members to discover new opportunities
drives incremental revenue growth through personal campaigns (e.g., portfolio analysis) or internal sources (e.g., marketing, account teams)
collaborates with account teams, partners, or services to track, qualify, and expand new opportunities

Fulltime

New

Federal Storage Sales Specialist

Federal Storage Sales Specialists are solution specialist responsible for leadin...

Location

United States

Salary:

194500.00 - 456500.00 USD / Year

Hewlett Packard Enterprise

Expiration Date

Until further notice

Requirements

5+ years of sales experience working directly with the Department of Defense
3+ years of storage sales, selling experience with a major storage company (Dell/EMC, Pure, NetApp) preferred
Demonstrated achievement of progressively higher quota, interface with diverse business customers at all levels
Extensive vertical industry knowledge required
University or Bachelor's degree preferred
Possesses expertise to be able to assess solution feasibility from a technical and business perspective
Uses expertise to negotiate and drive deals to ensure successful closure and a high win rate
Demonstrates hunter mentality to actively pursue for solution opportunities
Possesses the ability to independently articulate the technical solution and the commercial benefits to the client
Possesses knowledge of digital and modern methods to connect and sell

Job Responsibility

Responsible for sales of storage products and solutions in assigned territory or accounts
Uses advanced storage expertise to seek out new opportunities for customer value by expanding and enhancing existing opportunities
Creates and drives the storage sales pipeline
Captures leads outside of specialization and uses closed-loop lead management to ensure assignment and follow-up by others
Collaborates with the account pursuit teams to leverage their solutions expertise for business development
Build sales readiness and reduces client learning curve through effective knowledge transfer in storage
Contributes to development of quota objectives and future direction for storage product lines
Directs and coordinates supporting sales activities related to pipeline hygiene through account managers, Presales, channel partners and other relevant stakeholders
Effectively uses internal sales tools to maintain a healthy pipeline and the account plan in a timely fashion
Collaborates across the HPE teams to deliver a consistent approach to developing business, including account planning for end to end solutions

What we offer

Health & Wellbeing
Personal & Professional Development
Unconditional Inclusion

Fulltime

Medical Claims Processor

NTT DATA

Location:
United States , Plano

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 17, 2026

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