Facets Claims Examiner

Full Time
Philadelphia, PA 19102
Posted
Job description
Req ID: 222797

NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a Facets Claims Examiner to join our team in Philadelphia, Pennsylvania (US-PA), United States (US).

Position's General Duties and Tasks
  • Process claims by following the policies and procedures as defined by the customer.
  • Take up additional trainings/ new assignments or projects that may come up as per client needs.
  • Meet/ exceed required performance measures such as quality and productivity standards
  • Meet/ exceed process SLAs
  • Confirm to the required regulatory and compliance requirements such as the HIPAA.
  • Confirm to the organizational and client training requirements
  • Understand how work impacts results for their area as well as other processes.
  • Demonstrate knowledge of internal operations and develops relationships to facilitate workflow.
  • Knowledge of related regulations and standards.
  • Strong understanding of current processes and procedures and may identify opportunities for improvement.


Requirements for this role include:
  • High school Diploma or equivalent.
  • 2+ years of claims processing experience in a Health care payer/ BPO/ TPA setting
  • 1+ year of experience in Facets

About NTT DATA Services

NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

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.

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