Claim Adjudicator
Role&responsibilities
-Review&Analyze Healthcarepayerclaimsincluding HCFA&UBforms.
-Validate Member, Providerandother Claimsinformation.
-Reviewtheaccuratepaymentbasedondefined Policy and Procedure.-Review Coordination of Claim Benefitsbasedon the Policy&Procedure.
-Maintainproductivitygoals, qualitystandardswithinrequiredtimeframes.
-Scrutinizing Medical Claim Documentsandsettlements.
-Organizingandcompletingtasksperassignedpriorities.
-Developingandmaintainingasolidworkingknowledgeofthehealthcareinsuranceindustryandofallproducts, servicesandprocessesperformedbytheteam
-Resolvingcomplexsituationsfollowingpre-establishedguidelines
-Requirementsforthisroleinclude:
-Universitydegreeorequivalentthatrequiredformalstudiesof the Englishlanguageandbasic Math
Preferredcandidateprofile
-Fresher Graduate(Marksheet and Degree Mandatory)
-Good Communicationskills.
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Interview advice
Going for this role at NTTDATA,Inc.? A few things that help freshers walk in prepared:
- Before you go in, list the top three things this job asks for and prepare one concrete example for each — then tie every answer back to them.
- Prepare two or three thoughtful questions to ask them about the team, the work and growth; "I have no questions" reads as low interest.
- It is fine not to know something — say how you would find the answer. Freshers are hired for how they think, not for knowing everything already.
- Use STAR for "tell me about a time" questions — Situation, Task, Action, Result — so your story stays clear and short.
- Keep answers tight and on-point; avoid rambling or personal topics like religion, politics, relationships or family.