Operations Processing Senior Rep.

With people at the heart of our success, NTT DATA is committed to attracting and growing the best talent and providing an environment where everyone feels they can belong and their contribution matters. It’s our belief in possibility that drives us, but it’s our people that make it happen. At NTT DATA, what you do matters.

A Career at NTT DATA Means:

• Having ongoing opportunities to GROW  your career- we offer barrier-free learning with multiple self-learning tools available.
• Being part of a global organization where you can BELONG - in an inclusive working environment where you are free to be your best self. We’re committed to building a people-focused environment where you can shine, no matter who you are.
• Belonging to a team where you can make a DIFFERENCE - to your clients, colleagues, and communities. Your ideas are embraced, impactful, and keep us agile.
• Being part of a global PIONEER – where you gain exposure to our Fortune 500 clients and world-leading global technology partners and work with a network of over 40,000 smart and diverse colleagues across 57 countries, delivering services in over 200 countries.

Position Overview:

Customer Service Representatives learn business procedures of different internal organizations and using their multitasking ability will work on many projects at once by handling incoming and initiating outgoing calls based on established program processes.

Performs review of documents, transactions and/or accounts tracking results and opportunities and ensures business rules compliance

Responsibilities:

• Performs timely and accurate review of electronic records/documentation scanning for completeness of submissions in accordance with established policies.
• Identifies opportunities and reports on inaccuracies that may be present in reviewed documents
• Learns CRM system and is able to access different internal online resources to obtain required information in a timely manner.
• Performing inbound and outbound calls to insurance companies, medical facilities and customers in the US.
• Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met
• Analyzing medical insurance claims for quality assurance
• Resolving moderately routine questions following pre-established guidelines
• Performing routine research on customer inquiries.
• Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team

Requirements:

• Proficiency in Microsoft office programs and general computer operations
• Ability to learn and follow basic direction on process
• Must have mastery of the English language, both oral and written
• Must be detail-oriented and organized to maintain accurate records
• Must have the ability to focus and work quickly
• Able to work independently
• Sense of urgency in reporting any concerns to immediate supervisor
• High School diploma or equivalent required
• 1-2 years’ experience working in the medical field preferred

Inclusion. Belonging.

Unleashing the power of being unique.

At NTT DATA what you do matters. Because here YOU can.