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Senior Claims Processing Representative

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Date: Jul 26, 2019

Location: Providence, RI, US

Company: NTT DATA Services

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 Services and for the people who work here.

Req ID: 55729


NTT DATA Services currently seeks a Claims Processing Support Representative to join our team in East Providence, RI. This position has great access to public transportation, with a RIPTA bus stop diagonally across the street (RIPTA bus 34 at Evergreen St.)


The Opportunity:

For more than 30 years, our Business Process Outsourcing team has implemented the processes and technologies for Health Plans that bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction.


Requirements for this role include:

  • Analyzing and processing claims transactions in accordance with plan provisions
  • Adjudicating claims based on your knowledge of covered benefits, insurance and provider contracts
  • Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure
  • Maintain productivity goals, quality standards and aging timeframes
  • Collaborating with management or other team members as appropriate to proactively address service issues and concerns
  • May include taking or placing phone calls and emails to and from other Blue Cross & Blue Shield plans


Desired skills:

  • Possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications
  • Demonstrate strong reading, comprehension, and writing skills
  • Experience in a professional/office related environment (i.e. office support, administrative, clerical, customer service) that required you to communicate (oral/written) effectively in a professional/office setting
  • Must have experience with data entry and word processing
  • Ability to work in a team environmen

Minimum Requirements:

  • 2+ Years working with Healtcare Claims Adjustment and Settlement


This position is only available to those interested in direct staff employment opportunities with NTT DATA, Inc. or its subsidiaries.  Please note, 1099 or corp-2-corp contractors or the equivalent will NOT be considered. We offer a full comprehensive benefits package that starts from your first day of employment.                                                                                


About NTT DATA Services


NTT DATA Services partners with clients to navigate and simplify the modern complexities of business and technology, delivering the insights, solutions and outcomes that matter most. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services.


NTT DATA Services, headquartered in Plano, Texas, is a division of NTT DATA Corporation, a top 10 global business and IT services provider with 118,000+ professionals in more than 50 countries, and NTT Group, a partner to 88 percent of the Fortune 100. Visit to learn more.


NTT DATA, Inc. (the “Company”) is an equal opportunity employer and makes employment decisions on the basis of merit and business needs.  The Company will consider all qualified applicants for employment without regard to race, color, religious creed, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other class protected by law.  To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship to the Company would result.




Nearest Major Market: Providence
Nearest Secondary Market: Rhode Island

Job Segment: Clerical, Consulting, Data Entry, Administrative, Technology