Claims Training Specialist

Position Summary:
The Claims Training Specialist reports directly to the Claims Manager. This position is responsible,
for developing, managing, and executing the training process for new and current claims examiners
as applicable.
THIS POSITION REQUIRES EXPERIEINCE IN MEDICAL AND DENTAL CLAIMS, MEDICARE EXPERIENCE DOES NOT TRANSLATE TO THIS POSITION.
TPA Experience is Required
GBAS SYSTEM EXPERIENCE IS PREFERRED, HOWEVER NOT REQUIRED
Principal Duties and Responsibilities:

• Review and update Claims Processing Training materials in partnership with the Claims Manager.
• Train team members on fundamentals of claims processing.
• Provide a detailed overview of the claims system. (GBAS SYSTEM)
• Create Policies and Procedures.
• Lead performance improvement projects as assigned.
• Perform and Review claims audits for trainees.
• Review of other applications used such as SharePoint, SDS, Employee Portals, etc.
• Other duties as assigned.

General Expectations:

• Provide and promote the delivery of services with a prevailing attitude of respect and recognition of the personal worth and dignity of every individual whether they are a client, co-worker or supervisor.
• Communicate in a clear and concise manner, while also demonstrating receptivity through active listening.
• Identify and perform work that has not been specifically assigned, as needed.
• Adhere to established safety standards and utilizes proper techniques to avoid work-related injuries.
• Continuously seek opportunities for improvement and suggest ways in which procedures/systems may be modified to accomplish tasks/goals efficiently and effectively.
• Demonstrate a teamwork philosophy by working cooperatively with others inside and outside the Claims Division.
• Attend required in-service and staff meetings.
• Preserve the confidentiality of all business-sensitive information, including but not limited to that of insured groups and individuals and employees.

Knowledge, Skills, and Ability Requirements:

• High School Education required.
• Claims Processing Experience required.
• TPA Experience working with Self-Funded group benefit plans
• Experience with Teams Platform, able to utilize to conduct trainings.
• Self-motivated and energized, excelling in a fast-paced environment.
• Able and comfortable presenting to an audience of one or more peers.
• Compassionate and caring, an individual who enjoys working with people.
• Organized and able to prioritize workload to meet deadlines.
• Excellent communication skills.

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.
NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.
NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.