Medical Claims Processor

NTT DATA is hiring for a Remote Claims Processing Associate job to support healthcare clients across the US. This role focuses on reviewing and adjudicating professional healthcare claims while ensuring compliance with HIPAA and client guidelines. If you have hands-on experience in medical claims processing and strong attention to detail, this Remote Claims Processing Associate job offers an excellent opportunity to join a global leader in business and technology services.

Why Apply for a Remote Claims Processing Associate Job?

As a Remote Claims Processing Associate, you will play a vital role in supporting healthcare operations. You’ll:

• Process professional medical claim forms.

• Review policies, benefits, and fee schedules.

• Ensure compliance with HIPAA, confidentiality, and PHI regulations.

• Prioritize claim adjudication based on turnaround times and SLAs.

• Maintain accuracy and quality scores above 98.5%.

This position allows you to work independently while contributing to the efficiency and accuracy of healthcare claims processing.

Key Responsibilities in the Remote Claims Processing Associate Job

• Accurately calculate claim payment amounts.

• Research, review, and resolve claim discrepancies.

• Sustain productivity and meet quality targets.

• Respond to claims-related emails promptly.

• Complete compliance training for NTT DATA and clients on time.

• Use company systems to adjudicate claims according to defined workflows.

Qualifications for the Remote Claims Processing Associate Job

• 1–3 years of healthcare claims processing experience.

• High school diploma or GED required.

• Proficiency in Windows applications and navigating multiple computer systems.

• Strong problem-solving, research, and time management skills.

• Ability to work remotely, 7am–4pm CST, with on-camera training.

Preferred:

• Experience with Amisys and/or Xcelys.

• Background in queue-based productivity and quality environments.

Benefits of a Remote Claims Processing Associate Job at NTT DATA

• Hourly pay rate: $18.00/hour.

• Comprehensive benefits: medical, dental, vision, life, disability coverage, and paid time off.

• 401(k) program with company match.

• Work-from-home flexibility with company-provided tools.

• Opportunity to grow within a global organization serving 75% of the Fortune Global 100.