Claims ExaminerNTT DATA • Seattle, WA, US
No longer accepting applications
Claims Examiner
NTT DATA • Seattle, WA, US
14 days ago
Job type
- Full-time
Job description3 year(s) hands-on experience in Healthcare Claims Processing High school diploma or GED Previously performing in P&Q work environment; work from queue; remotely Key board skills and computer familiarity Toggling back and forth between screens / can you navigate multiple systems. Working knowledge of MS office products Outlook, MS Word and MS-Excel. Amisys or Xcelys Medicaid and Medicare Claims processing experience Ability to communicate (oral / written) effectively in a professional office setting Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities Time management with the ability to cope in a complex, changing environment
Remote Claims Processing Associate
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this role, the candidate will be responsible for :
- Processing of professional and institutional claims
- Reviewing the policies and benefits
- Complying with company regulations regarding HIPAA, confidentiality, and PHI
- Abiding with the timelines to complete compliance training of NTT Data / Client
- Working independently to research, review and act on the claims
- Prioritizing work and adjudicating claims as per turnaround time / SLAs
- Ensuring claims are adjudicated as per clients defined workflows, guidelines
- Sustaining and meeting the client productivity / quality targets to avoid penalties
- Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA
- Timely response and resolution of claims received via emails as priority work
- Correctly calculating claims payable amount using applicable methodology / fee schedule
Requirements :
Preferred Skills & Experiences :
Create a job alert for this search
Examiner • Seattle, WA, US
Related jobs
Being good neighbors - helping people, investing in our communities, and making the world a better place - is who we are at State Farm.
It is at the core of how we operate and the reason for our suc...Show more
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, un...Show more
Malone Healthcare - Nursing is seeking a travel CT Technologist for a travel job in Everett, Washington.Job Description & Requirements.
CT Technologist – Day Shift (5x8-Hour, 08 : 00 –...Show more
Rang Healthcare is seeking a travel CT Technologist for a travel job in Everett, Washington.Job Description & Requirements.
Perm candidates of any OTHER providence facility ( NON SWEDISH ) are e...Show more
Healthcare Support is seeking a travel CT Technologist for a travel job in Everett, Washington.Job Description & Requirements.
Healthcare Support Job ID #479183.Pay package is based on 8 hour sh...Show more
We are seeking a detail-oriented and organized Claims Coordinator to join our team.The ideal candidate will play a crucial role in managing our customers claims efficiently while ensuring complianc...Show more
Manages compliance and quality functions whose mission is to provide assistance to Field Operations and Account Management in order to exceed our clients claim handling expectations.Collaborates in...Show more
Property Casualty Claims Representative - Hybrid - Bellevue, WA.Claims Representative LHH Recruitment Solutions is seeking a Claims Representative who will play a critical role in managing and reso...Show more
Atlas Medstaff is currently seeking candidates in the CT Tech (CT Tech) profession for a 13 week contract in the Everett, Washington area.
Atlas Medstaff is a premier staffing firm dedicated to matc...Show more
Senior General Liability Claims Analyst (Remote).Senior General Liability Claims Analyst.This role is responsible for independently managing and adjusting a wide range of general liability claims, ...Show more
Now Hiring : Allied Healthcare Mammography - Edmonds, WA.Contact us for Pay Information.Actual amount dependent upon market adjustments.
Are you a passionate Allied Healthcare professional looking fo...Show more
Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24 / 7 support, and a responsive, traveler-first culture.
What are you waiting for? Apply today!.Valid license...Show more
Are you a great communicator with strong writing skills Are you experienced in medical / dental claims processing Do you enjoy working with people individually and in small group settings to help the...Show more
TravelNurseSource is working with Lancesoft Inc to find a qualified Case Manager RN in Everett, Washington, 98201!.Minimum 1 year of experience required.
Required WA or Compact RN License.References...Show more
AlliedTravelNetwork is working with LRS Healthcare to find a qualified CT Tech in Everett, Washington, 98208!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits packag...Show more
Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc.
Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Show more
Role Overview • •Mercor is collaborating with a top-tier AI research group to model real-world claims workflows for property and casualty insurance.
We are seeking experienced independent contractors—...Show more
Providence nurses are not simply valued – they’re invaluable.You will thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect....Show more
Claim Specialist - Property Field Inspection
State Farm • Tacoma, WA, United States
Full-time
Last updated: 17 days ago • Promoted
Claims Specialist
CorVel • Seattle, WA, US
Full-time
Last updated: 30+ days ago • Promoted
Travel CT Technologist
Malone Healthcare - Nursing • Everett, WA, US
Full-time
Last updated: 30+ days ago • Promoted
Travel CT Technologist
Rang Healthcare • Everett, WA, US
Permanent
Last updated: 30+ days ago • Promoted
Travel CT Technologist
Healthcare Support • Everett, WA, US
Permanent
Last updated: 30+ days ago • Promoted
Claims Coordinator
Rainbow Restoration • SeaTac, WA, US
Full-time
Last updated: 30+ days ago
Claims Quality Specialist Lead
Canon Recruiting Group • Seattle, Oregon, USA
Full-time
Last updated: 6 days ago • Promoted
Property Casualty Claims Representative - Hybrid - Bellvue, WA
LHH • Bellevue, WA, US
Full-time
Last updated: 4 hours ago • Promoted • New!
Travel CT Tech - $2,318 per week in Everett, WA
Atlas MedStaff • Everett, WA, US
Full-time
Last updated: 23 hours ago • Promoted
Senior General Liability Claims Analyst (Remote)
Nordstrom • Seattle, WA, United States
Remote
Full-time
Last updated: 11 days ago • Promoted
Travel Mammography Tech - $2,411 to $2,694 per week in Edmonds, WA
Prime Time Healthcare • Tacoma, Washington, US
Full-time
Last updated: 13 days ago • Promoted
Travel CT Tech - $2,230 to $2,472 per week in Everett, WA
LRS Healthcare • Everett, WA, US
Full-time
Last updated: 21 days ago • Promoted
Claims Auditor Health & Welfare (Hybrid)
Northwest Administrators • Seattle, Oregon, USA
Full-time
Last updated: 19 days ago • Promoted
Travel Nurse RN - Case Manager - $2,873 per week in Everett, WA
TravelNurseSource • Everett, WA, US
Full-time +1
Last updated: 30+ days ago • Promoted
Travel CT Tech - $2,230 to $2,472 per week in Everett, WA
AlliedTravelNetwork • Everett, WA, US
Full-time
Last updated: 21 days ago • Promoted
Senior Environmental Claims Adjuster (CONTRACT)
Argonaut Management Services, Inc • Seattle, WA, United States
Full-time
Last updated: 30+ days ago • Promoted
Remote Claims Adjusters, Examiners, and Investigators - AI Trainer ($60-$100 per hour)
Mercor • Marysville, Washington, US
Remote
Full-time
Last updated: 18 hours ago • Promoted • New!
Rapid Response RN
Providence Health and Services • Everett, WA, US
Part-time
Last updated: 30+ days ago • Promoted