Director of Claims

Benefits Configuration Analyst- Facets Role & Responsibilities: Design, analyze, and implement benefit coding change requests with a high level of precision, ensuring alignment with client specifications and regulatory requirements.Gather, interpret, and evaluate complex client requirements to assess the impact of benefit designs on claims processing; effectively communicate tailored benefit setup options to stakeholders and internal teams, thereby advising on optimal solutions.Manage non-standa

Important NoteCandidates must be currently residing in the state of California to be considered for this role. Job DescriptionWe are seeking a detail-oriented and experienced Claim Examiner Workers' Compensation (WC) to join our team. The ideal candidate will be responsible for managing and adjudicating workers' compensation claims with moderate complexity, ensuring accurate and timely resolution. Key ResponsibilitiesReceive claim assignments, confirm policy coverage, and initiate claim acknowle

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our companys growth and market presence. 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. For more than 25 years,NTT DATA Serviceshave focused on impacting the core of your business operations with industry-leading outsourcing ser

Job Title: Utilization Management - RN/LPN (Care Management) Location: Baltimore, MD Duration: 12 Months+ Purpose: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care. Essential Functions: 35% Performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims i