Senior Claims Processing Associate Job at NTT DATA (Plano)

Claims Examiner Senior

The Claims Examiner Senior is responsible for reviewing, analyzing, researching,...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Associate's degree or equivalent job-related experience required
Minimum of 3 years’ experience processing medical claims in the healthcare industry
Must be knowledgeable about medical terminology, CPT, HCPCS, ICD-10, Revenue Codes, CMS-1500 and CMS-1450/UB-04 claim forms and reimbursement methodologies
Must have excellent written, verbal, organizational and interpersonal communication skills
Must be proficient in Microsoft Office, Power Point, Excel, Word, Outlook, spreadsheet, and database skills

Job Responsibility

Analyze medical claim information and take appropriate action for payment resolution in accordance with policies and procedures, desktops, processing guidelines, and federal regulations
Process medical claims submitted on CMS-1500 and CMS-1450/UB-04 claim forms from facilities, physicians, Home Health, Durable Medical Equipment providers, laboratories, etc
Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes
Process provider refunds, reconsiderations, and direct member reimbursements
Process medical claim adjustments, recovery of claim overpayments, and execution of claim batch adjudication
Solve moderately complex claims and escalate issues to the Claims Team Lead, Supervisor or Manager
Assist with database improvements and testing for system upgrades, conversions, or implementation of new processes
Serves as a resource to assist with training new associates, retraining current associates on new/updated desktops/policies and reports staff progress, deficiencies, and training needs to management
Sets high standards of performance and promotes teamwork to achieve established team goals, while maintaining a positive, professional attitude
Contacting/responding to internal and external customers for resolution on claim issues

Fulltime

Construction Disputes Senior Associate

A top 50 leading UK law firm is seeking a talented Senior Associate to join thei...

Location

United Kingdom , Greater London

Salary:

95000.00 - 120000.00 GBP / Year

Douglas Scott

Expiration Date

Until further notice

Requirements

A strong academic background and at least 4 years of PQE in construction disputes or professional indemnity claims
Experience in policy interpretation and a solid understanding of court and dispute resolution processes
Excellent drafting, negotiation, and communication skills
A proactive, team-focused approach and an enthusiasm for client engagement and business development

Job Responsibility

Defend professional indemnity claims against construction professionals, main contractors, and other professionals
Advise clients on insurance policy coverage and interpretation, including complex wording issues
Provide specialist advice on claims defense strategies and scope of policy cover
Work closely with experienced partners and a dynamic team in a collaborative environment

What we offer

A competitive salary and comprehensive benefits package
Recognition as one of the UK’s best workplaces for over 20 years, with Platinum Investors in People status
Opportunities for professional growth, flexible working arrangements, and a strong emphasis on work-life balance
A firm-wide commitment to diversity, sustainability, and innovation

Fulltime

Construction Disputes Senior Associate

A top 50 leading UK law firm is seeking a talented Senior Associate to join thei...

Location

United Kingdom , Greater London

Salary:

95000.00 - 120000.00 GBP / Year

Douglas Scott

Expiration Date

Until further notice

Requirements

A strong academic background and at least 4 years of PQE in construction disputes or professional indemnity claims
Experience in policy interpretation and a solid understanding of court and dispute resolution processes
Excellent drafting, negotiation, and communication skills
A proactive, team-focused approach and an enthusiasm for client engagement and business development

Job Responsibility

Defend professional indemnity claims against construction professionals, main contractors, and other professionals
Advise clients on insurance policy coverage and interpretation, including complex wording issues
Provide specialist advice on claims defense strategies and scope of policy cover
Work closely with experienced partners and a dynamic team in a collaborative environment

What we offer

A competitive salary and comprehensive benefits package
Recognition as one of the UK’s best workplaces for over 20 years, with Platinum Investors in People status
Opportunities for professional growth, flexible working arrangements, and a strong emphasis on work-life balance
A firm-wide commitment to diversity, sustainability, and innovation

Fulltime

Construction Disputes Senior Associate

A top 50 leading UK law firm is seeking a talented Senior Associate to join thei...

Location

United Kingdom , Greater London

Salary:

95000.00 - 120000.00 GBP / Year

Douglas Scott

Expiration Date

Until further notice

Requirements

A strong academic background and at least 4 years of PQE in construction disputes or professional indemnity claims
Experience in policy interpretation and a solid understanding of court and dispute resolution processes
Excellent drafting, negotiation, and communication skills
A proactive, team-focused approach and an enthusiasm for client engagement and business development

Job Responsibility

Defend professional indemnity claims against construction professionals, main contractors, and other professionals
Advise clients on insurance policy coverage and interpretation, including complex wording issues
Provide specialist advice on claims defense strategies and scope of policy cover
Work closely with experienced partners and a dynamic team in a collaborative environment

What we offer

A competitive salary and comprehensive benefits package
Recognition as one of the UK’s best workplaces for over 20 years, with Platinum Investors in People status
Opportunities for professional growth, flexible working arrangements, and a strong emphasis on work-life balance
A firm-wide commitment to diversity, sustainability, and innovation

Fulltime

Construction Disputes Senior Associate

A top 50 leading UK law firm is seeking a talented Senior Associate to join thei...

Location

United Kingdom , Greater London

Salary:

95000.00 - 120000.00 GBP / Year

Douglas Scott

Expiration Date

Until further notice

Requirements

A strong academic background and at least 4 years of PQE in construction disputes or professional indemnity claims
Experience in policy interpretation and a solid understanding of court and dispute resolution processes
Excellent drafting, negotiation, and communication skills
A proactive, team-focused approach and an enthusiasm for client engagement and business development

Job Responsibility

Defend professional indemnity claims against construction professionals, main contractors, and other professionals
Advise clients on insurance policy coverage and interpretation, including complex wording issues
Provide specialist advice on claims defense strategies and scope of policy cover
Work closely with experienced partners and a dynamic team in a collaborative environment

What we offer

A competitive salary and comprehensive benefits package
Recognition as one of the UK’s best workplaces for over 20 years, with Platinum Investors in People status
Opportunities for professional growth, flexible working arrangements, and a strong emphasis on work-life balance
A firm-wide commitment to diversity, sustainability, and innovation

Fulltime

Corporate Audit Senior Associate

Amgen is seeking a highly motivated and detail-oriented Senior Associate to join...

Location

India , Hyderabad

Salary:

Not provided

Amgen

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Accounting, Finance, Business Administration, Compliance, or related field
3–6 years of experience in internal audit, compliance, public accounting, or consulting, preferably in the Pharmaceutical/Biotechnology industry

Job Responsibility

Audit Planning & Scoping: Participate in walkthroughs and interviews with process owners and business leaders to understand workflows and risk areas
Assist in conducting Risk assessment by doing preliminary research to understand relevant business processes, regulatory risks, and internal controls
Participate in developing risk-based audit plans (RCM) for functional and U.S. healthcare compliance audits, aligning with corporate objectives and regulatory expectations
Assist in defining audit scope, objectives, timelines, and resource requirements in collaboration with Audit Senior Managers and Compliance partners
Audit Fieldwork & Reporting: Support execution of audits across various corporate functions (e.g., Finance, Legal, HR, Procurement) and U.S. healthcare operations (e.g., commercial field activities, patient support programs, speaker programs, HCP engagements)
Perform detailed testing of transactions, procedures, systems, and controls to assess compliance with Amgen’s policies, SOPs, and relevant laws
Support in evaluating adherence to healthcare laws and regulations such as Anti-Kickback Statute, False Claims Act, PhRMA Code and FDA promotional compliance standards
Identify audit observations, root causes, and business impacts
quantify where applicable
Draft audit workpapers and reports in accordance with internal audit methodology & IIA standards

Senior Counsel-Associate General Counsel - Tax

Provide quality legal services on a timely and cost-efficient basis. Provide leg...

Location

United States , Minneapolis

Salary:

117000.00 - 282000.00 USD / Year

Allianz

Expiration Date

Until further notice

Requirements

8-10 years of experience required: Law firm, governmental or administrative agency and/or insurance or financial services company
Advanced degree required: JD, LLM specializing in taxation
Utilization of artificial intelligence tools and resources (e.g. generative AI)
You must be legally authorized to work in the U.S. and will not require immigration sponsorship for visa status now or in the future (e.g. H1-B, L-1, TN, etc). If you are currently on CPT/OPT, you are ineligible due to the need for future immigration sponsorship

Job Responsibility

Analyze business plans and initiatives to identify legal risks, advise business partners on risk mitigation and best practices
Partner with Operations management in identifying and containing legal risks and developing best practices
Provide timely tax advice and guidance on day-to-day legal issues and projects involving new business, inforce administrations and claim processing
Collaborate with other attorneys including operations, distribution, product and litigation and other staff within legal and compliance

What we offer

Comprehensive medical and dental plan options
Generous time off plan
Outstanding 401(k) company match
Award-winning campus with amenities such as onsite health center, child development center, fitness facility, convenience store and two cafeterias
Employee Resource Groups promoting inclusivity and diversity

Fulltime

Insurance Claims Manager

The Claims Department Manager oversees daily operations of the claims function, ...

Location

United States , Burlington

Salary:

Not provided

NATIONAL OnDemand, Inc

Expiration Date

Until further notice

Requirements

Bachelor’s degree in business administration or a related field from an accredited institution
Minimum of four years of directly related experience in claims adjusting, investigations, litigation support, and/or risk management
Professional certification preferred, such as Certified Medical Insurance Specialist (CMIS), Certified Billing & Coding Specialist (CBCS), Associate in Claims (AIC), or associate in general insurance (AINS)
Experience in insurance or risk management, including hands-on responsibility for a variety of claims processes
Strong ability to professionally liaise with insurance carriers and external partners
Demonstrated ability to supervise and develop personnel in a fast-paced environment
Ability to work independently and collaboratively with stakeholders at all organizational levels
Proven ability to maintain confidentiality and handle sensitive information with discretion
Strong professional presence with the ability to represent the organization effectively
Must have reliable transportation and a valid driver’s license

Job Responsibility

Develop and maintain efficient processes and documentation for workers’ compensation and property & casualty claims, ensuring compliance with all applicable policies, procedures, and legislation
Serve as the primary liaison with external agencies, carriers, brokers, and regulatory bodies for claims administration and claimant management
In coordination with the Senior Director of EHS & Compliance, evaluate complex and high-value property and casualty claims to determine liability, damages, and exposure
Assist the Senior Director of EHS & Compliance and Legal in managing third-party claims, including negotiations and settlement
Review and evaluate all work-related accident reports for completeness, accuracy, and regulatory compliance analyze data as needed to identify trends or issues
Investigate, review, and resolve high-severity, complex, or disputed claims
Supervise, coach, and train claims specialists, providing guidance on technical claim matters and ensuring consistent application of claims processes
Determine the appropriateness and value of workers’ compensation claims conduct investigations to assess eligibility and ensure all legal and procedural requirements are met for timely and accurate claim processing
Provide expert advice and counsel to organizational leadership on the interpretation and application of workers’ compensation and property & casualty policies, regulations, and procedures
Coordinate with the organization’s insurance broker and providers to ensure accurate, timely reporting and efficient claims handling

What we offer

paid time off (PTO)
medical
dental
vision
short- and long-term disability
life insurance
Employee Assistance Program (EAP)
401(k)

Fulltime

Senior Claims Processing Associate

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 21, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Senior Claims Processing Associate

Claims Examiner Senior

Construction Disputes Senior Associate

Construction Disputes Senior Associate

Construction Disputes Senior Associate

Construction Disputes Senior Associate

Corporate Audit Senior Associate

Senior Counsel-Associate General Counsel - Tax

Insurance Claims Manager

Senior Claims Processing Associate

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 21, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Senior Claims Processing Associate

Claims Examiner Senior

Construction Disputes Senior Associate

Construction Disputes Senior Associate

Construction Disputes Senior Associate

Construction Disputes Senior Associate

Corporate Audit Senior Associate

Senior Counsel-Associate General Counsel - Tax

Insurance Claims Manager

Location:
United States , Plano

Category:
Insurance

Contract Type:
Not provided

Job Posted:
February 21, 2026