Customer Service Representative - #19585059

NTT DATA Services


Date: May 9, 2021
City: Providence, RI
Contract type: Full time
NTT DATA Services

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 Customer Service Representative to join our team in Providence, Rhode Island (US-RI), United States (US).





Position's Overview



At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.





NTT DATA, Inc. currently seeks a BPO HC & Insurance Associate to join our team in Providence, Rhode Island.





Client's business problem to solve?





Our Client is one of Leading Health Plan in US providing services in Rhode Island. NTT is getting into contract with Client to manage End to End Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction





Position's General Duties and Tasks



In these roles you will
be responsible for:



  • Taking 30-40 inbound calls per day from members regarding verification of health insurance benefits, eligibility and claim status.


  • Analyzing and processing claims transactions in accordance with plan provisions.


  • Adjudicating claims based on your knowledge of covered benefits and insurance.


  • Ensuring accurate and timely completion of transactions to meet or exceed client SLAs


  • Adhering to attendance, professional conduct and member confidentiality policies and guidelines



  • Maintaining 100% attendance during six-week New Hire Training from 8am-5pm

  • Accepting and implementing coaching and feedback to achieve individual and team performance goals.


  • Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team.


  • Multitasking and effectively navigating multiple web based applications and other proprietary software to formulate solutions.



Requirements for this role include:


  • High school Diploma or equivalent.



  • 6+ months of experience in a customer service role where you had to correspond in writing or over the phone with internal and external customers


  • 6+ months of experience in a customer service role where you had to apply business rules to varying fact situations and make appropriate decisions


  • 6+ months of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, leverage internet search engines, and other web based applications

  • 6+ months of experience with the Microsoft Office suite that required daily usage of Outlook, Excel and Word.


  • Ability to type 40 WPM





Required schedule availability for this position is Monday-Friday (08:00am to 08:00pm EST) and Saturday (08:00am to 12:00pm EST). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.





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 will consider all qualified applicants for employment without regard to race, gender, disability, age, veteran-status, sexual orientation, gender identity, or any other class protected by law.

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