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Medical Claims Examiner - Remote U.S.

September 7, 2026

NTT DATA is currently seeking Remote Medical Claims Examiners to join our team.(Amisys or Xcelys experience is a plus) ***Must be able to work Monday to Friday 7 AM to 4 PM Central time. In this Role the candidate will be responsible for:<ul><li>Processing of Professional and Hospital claim forms files by provider</li><li>Reviewing the policies and benefits</li><li>Comply with company regulations regarding HIPAA, confidentiality, and PHI</li><li>Abide with the timelines to complete compliance training of NTT Data/Client</li><li>Work independently to research, review and act on the claims</li><li>Prioritize work and adjudicate claims as per turnaround time/SLAs</li><li>Ensure claims are adjudicated as per clients defined workflows, guidelines</li><li>Sustaining and meeting the client productivity/quality targets to avoid penalties</li><li>Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA.</li><li>Timely response and resolution of claims received via emails as priority work</li><li>Correctly calculate claims payable amount using applicable methodology/ fee schedule/</li></ul> Required Skills for this role include:<ul><li>2+ years of healthcare claims processing (full cycle: Pay, Pend, Deny)</li><li>2+ years using a computer with Windows applications that required you to use a keyboard, navigate multiple screens and computer systems, and learn new software tools</li><li>High school diploma or GED.</li></ul> Preference<ul><li>Experience processing claims in Amisys or Xcelys is a plus.</li><li>Ability to communicate (oral/written) effectively in a professional office setting</li><li>Familiar with toggling back and forth between screens/can you navigate multiple systems.</li><li>Working knowledge of MS office products like - Outlook, MS word and MS-excel.</li></ul>Duration: Long term-12+ months with possibility to convert to FTE Compensation: $18/hr. NTT DATA provides a reasonable range of compensation for specific roles. The rate for this remote role is $18/hour. This rate reflects the target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance. This position is eligible for company benefits including participation in medical, dental, and vision insurance, flexible spending or health savings account, and AD&D insurance, employee assistance, participation in a 401K program, and additional voluntary or legally required benefits. About NTT DATA: NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com. NTT DATA 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. #INDHRS

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...