TEMP BPO Senior Associate

Claims Processor Location: Chicago About Avant Health Health insurance sucks. Costs are going up, people are frustrated, and insurance companies have failed us. Employers and their employees are faced with only terrible options. Avant Health is an AI-native benefits administrator (TPA) fixing healthcare benefits by designing and administering personalized and cost-effective health plans for employers, employees, and their families. Our mission is enabling coverage and care that is affordable, accessible, & understandable. In order to do that, we need to rebuild the system from the ground up, leveraging new data, tools, and technology. When we succeed, people will get the care they need, at a price they can afford. The Role You'll be at the intersection of healthcare expertise and technological innovation, processing claims while helping us build the future of benefits administration. This isn't traditional claims processing—you're not just adjudicating claims in a vacuum. You're identifying patterns, spotting edge cases, and teaching our AI systems to make better decisions. Your expertise shapes how we automate and improve. In this role, you'll bring deep claims processing knowledge to a team that's reimagining how benefits administration works. You'll process health, dental, and vision claims while actively contributing to our platform's continuous improvement. When you catch an unusual case or spot a pattern that could lead to better automation, you're not just noting it—you're helping us fix it. You'll work in an environment where your expertise directly influences product development. The edge cases you identify today become the improvements we build tomorrow. Key Responsibilities ● Process and adjudicate health, dental, and vision insurance claims with precision and efficiency ● Perform quality assurance reviews of auto-adjudicated claims to ensure accuracy and identify areas for improvement ● Analyze claim documentation to ensure accuracy, completeness, and compliance with plan benefits ● Collaborate with our technology team to identify patterns and opportunities for automation ● Share claims processing expertise with team members and contribute to knowledge base development ● Document best practices and unusual case resolutions that inform our AI systems ● Participate in the continuous improvement of our claims processing workflows ● Break down complex decision-making into clear, logical steps that can inform automation strategies What We're Looking For We value your expertise and how you think about problems as much as your technical skills. The strongest candidates share these traits: Deep Claims Expertise You've processed thousands of claims and can spot issues others miss. You understand the nuances of different plan designs, medical billing codes, and coverage determinations. You know when something looks off, even if you can't immediately articulate why. Your experience has given you an intuition for claims that only comes from years in the field. Pattern Recognition You don't just process claims one at a time—you see patterns across them. You notice when multiple claims share similar characteristics or when edge cases reveal systematic issues. You can articulate why certain claims are tricky and what makes them different. This ability to generalize from specific cases makes you invaluable in training AI systems. Structured Thinking You can break down your decision-making process into clear, logical steps. When you explain why a claim should be approved or denied, you articulate the specific criteria and reasoning. You document not just what you decided, but how you decided it. This clarity helps both humans and machines learn from your expertise. Meticulous Attention to Detail You catch what others miss—incorrect billing codes, plan coverage nuances, coordination of benefits issues. You double-check your work naturally. You understand that in healthcare claims, small errors can have significant consequences for members and employers. Your precision is automatic, not effortful. Collaborative Problem-Solving You're comfortable sharing your expertise with non-claims people, including engineers and product managers. You can explain complex claims concepts in ways that help others understand the underlying logic. You see questions about your work as opportunities to teach, not interruptions. You're genuinely interested in helping others learn what you know. Adaptability to Technology You're comfortable with rapid technological change and evolving workflows. You see AI and automation as tools that can make claims processing better, not threats to your expertise. You're curious about how technology can reduce repetitive work while preserving the judgment that requires human expertise. You're willing to learn new systems and approaches. Nice to Have ● 5+ years of experience in health insurance claims processing ● Background in benefits administration or medical billing ● History of implementing process improvements in claims operations ● Experience with multiple claims processing software systems ● Strong proficiency with spreadsheet software (Excel, Google Sheets) ● Track record of effective knowledge transfer and documentation ● Experience creating detailed process documentation ● Interest in AI and its applications in healthcare and insurance Benefits ● Competitive salary commensurate with experience ● Opportunity to shape the future of claims processing and benefits administration ● Professional development in emerging technologies ● Collaborative, innovation-focused environment Interview Process Our interview process is designed to understand both your operational capabilities and how you approach problems: 1. Application Review 2. Initial Call (30 minutes) to understand your background and tell you about Avant Health 3. Team Interview (60 minutes) with multiple members of the Avant Health team 4. Final Interview (30 minutes) with the CEO to determine if we're a mutual fit. Avant Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

For more than 25 years, NTT DATA Services have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.

NTT DATA Services currently seeks a "job title” to join our team in "location”.

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About NTT DATA Services:

NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.

NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is ($x - x/hourly ). This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.

This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.