About this role
Improve process efficiency & quality for existing and new processes through analysis and design of workflows and business processes. Review medical documents, policy documents, policy history, claims history, system notes and apply the trained client level business rules to ensure that processors make appropriate Claims decisions, call out claims trends and flag fraud activities. Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function Perform functional analysis of the current business process and supporting documentation Identify process improvements and facilitate reengineering of business processes Create process and value stream map for existing and new business processes Assist in establishing and maintaining standard operating procedures and knowledge transfer documentation on various functionalities. Be a team player and work seamlessly with other team members on meeting customer goals. Work hours from 5:30 pm to 3:30 am IST (Mon - Fri) from NttData Office Chennai/Coimbatore. Any Bachelor's degree, A minimum of 3 years of experience as a Transactional Quality Auditor/MIS specialist/Quality associate involved in implementation of basic Quality framework elements. Experience with Life Insurance Claims and Policy Administration. Demonstrates a strong understanding of claims business process redesign/reengineering, gap analysis, functional vs technical specifications, and change management. Ability to collate data/information from different sources and work on Management Reports without any error. Strong understanding of claims business process redesign/reengineering, gap analysis, functional vs technical specifications, and change management. Excellent communication skills (written and verbal) to clearly articulate business requirements to technical & development teams. Knowledge of process mapping tools - MS Visio and Lucid Charts, Excel and Power Point. Lean Six Sigma Experience working in an Agile environment. Experience with Salesforce or other case management systems' modernization.
Other facts
About NTT DATA
NTT DATA – a part of NTT Group – IT and business services headquartered in Tokyo. We help clients transform through consulting, industry solutions, business process services, digital & IT modernization and managed services. NTT DATA enables them, as well as society, to move confidently into the digital future. We are committed to our clients’ long-term success and combine global reach with local client attention to serve them in over 50 countries around the globe.
What you'll do
- The role involves improving process efficiency and quality through analysis and design of workflows. It includes reviewing medical and policy documents to ensure appropriate claims decisions and identifying process improvements.
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