[Remote] HC and Insurance Operations Analyst

Note: The job is a remote job and is open to candidates in USA. NTT DATA North America is a leading business and technology services provider, and they are seeking a HC and Insurance Operations Analyst to join their team. The role involves managing the entire claims process for insurance policyholders, providing updates and ensuring effective communication throughout the claims lifecycle.ResponsibilitiesClaim Initiation: Gather information and initiate claims through various channelsDetailed Logging: Log and update pertinent information throughout the claim lifecycleOmni-Channel Correspondence: Communicate required medical records and claim information via email, mail, and phoneProactive Follow-Up: Follow up on pending claims and assist in gathering required medical recordsBenefit Calculation: Calculate benefit amounts and process payments through the claims systemFraud Detection: Identify and flag potential fraudulent activitiesMultitasking: Manage a caseload of active claims and perform end-to-end stepsAttention to Detail: Ensure accuracy and organization in logging, tracking, and reviewing claimsCollaboration: Work with management and team members to address service issues and concernsEmpathy: Communicate with claimants with empathy and a willingness to helpSkillsMust live in the Continental United States2 years in an analytical role reviewing medical benefits and claims2 years of claims adjudication experience, preferably in life, and supplemental products (e.g., critical illnesses such as cancer, stroke, heart attack, kidney disease)4 years of experience reviewing and assessing medical recordsExperience articulating claim requirements clearly and conciselyMinimum high school diploma or GED; college degree preferredAt least 1 year of experience working from home with proven productivity and qualityDesignated quiet area for completing callsRequired schedule availability for this position is between Monday-Friday 7:00 am to 7:00 pm (Central Time), OT during evenings and Saturdays could also be required based on business need, particularly during the months of Nov – FebNew hire must have a working device (such as cell phone or tablet) for the 2-Factor Authentication processMust Pass Drug screenMust Pass a background check with Education check and employment verification checkIndividuals must provide their own high speed internet access with speeds at or above 50 MbpsA hard-wired ethernet connection is required. Wi-Fi, mobile, wireless and public internet connections are forbidden as are connections outside of one's personal dwelling or locationEmployees must have a dedicated, professional workspace conducive to servicing Customer Service customers with the same quality as an onsite environmentThe workspace must be a permanent, unencumbered location used daily for workEmployees must work with minimal distractions that do not interfere with business operations or service deliveryEmployees must work from the same location consistently unless prior approval is obtainedCollege degree preferredSuccessful completion of the certification program is desiredBenefitsMedical, dental, and vision insurance with an employer contributionFlexible spending or health savings accountLife and AD&D insuranceShort- and long-term disability coveragePaid time offEmployee assistanceParticipation in a 401k program with company matchAdditional voluntary or legally required benefitsCompany OverviewNTT DATA, Inc. is a trusted global innovator of business and technology services. It was founded in 1988, and is headquartered in Plano, Texas, USA, with a workforce of 10001+ employees. Its website is https://us.nttdata.com.Company H1B SponsorshipNTT DATA North America has a track record of offering H1B sponsorships, with 18 in 2026, 144 in 2025, 182 in 2024, 257 in 2023, 871 in 2022, 809 in 2021, 1266 in 2020. Please note that this does not guarantee sponsorship for this specific role.