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BPO Admin Ops. Senior Analyst

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Date: May 29, 2022

Location: Plano, TX, US

Company: NTT DATA Services

General Description:

The Claims Inventory Analyst will manage claims inventory to ensure timely assignments and processing to meet Service Level Agreements. The Analyst will review customer requests, escalations, system changes and defects, CMS changes, and play a vital role in determining the appropriate course of actions and communicating those steps to various stakeholders. The role of the Analyst is ultimately to support the end-to-end claims operations.

 

Roles and Responsibilities:

The Claims Support Analyst shall partner with internal and external stakeholders to drive successful transition of work items for new or additional work for NTT.

-Being a key participant in the review of additional or new work items. 

-Representing NTT Data to key stakeholders in the discussions or work transitions and implementations

-Creating and sharing post-mortem review of work transitions and implementations

 

Check Runs: The Claims Support Analysts will ensure the successful execution of check runs. They will do this by:

-Reviewing all necessary pre-check run reporting

-Scheduling and executing check run no later than time set by client for each Line of Business

-Communicating with NTT leadership and designated client contacts with all communications relating to check run, including but not limited to: issues, clarifications, and the successful execution.

 

Escalations: The Claims Support Analysts will review, resolve, and communicate closure on all escalated items received from the customer or identified internally. This includes:

-Serving as the project leader for escalated issues, identified either by the customer or internally.

-Performing necessary research, analysis, summarization, and assisting in remediation procedures if necessary

-Monitoring and resolving incoming requests from the Management Escalations mailbox.

 

Reporting: The Claims Analyst will collaborate, gather information, and publish daily and weekly reports for internal and external audiences.  Analyst is responsible for accurate and timely creation, review and delivery of reports.

 

Transmittals: The Claims Support Analyst will oversee the creation, tracking, and timely return of transmittal files to Customer. This will be accomplished by:

-Reviewing incoming transmittal files for accuracy, thoroughness, clarity, and understanding within 1 business day of receipt 

-Determining the feasibility of automated solutions to complete the transmittal (E.g., scripting, AFTE BOT development, etc.)

-Returning completed transmittal files to the appropriate owners within SLA.

-The Analyst is expected to be Subject Matter Expert in claims processing, and to proactively and continuously share that knowledge with associates and other members of the leadership team

-The Analyst is expected to keep the leadership team fully informed of all deliverables, issues, and challenges at all times

-It is expected that the Analyst will attend all required customer meetings and be fully prepared to speak to their designated topics

-The Analysts will communicate with all stakeholders in a professional and courteous way at all times


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