HC * Insurance Operations Associate

About the role

NTT DATA is seeking a HC Insurance Operations Associate to join our team in Kansas City, Kansas (US-KS), United States (US).

Responsibilities

• Review and adjudicate insurance claims to determine eligibility, coverage, and payment accuracy
• Interpret policy language, benefits schedules, and governing regulations to ensure correct claim outcomes
• Analyze claim documentation and supporting materials to verify completeness and accuracy
• Identify discrepancies, missing information, or potential fraud and take appropriate action
• Communicate claim decisions clearly to customers, providers, and internal stakeholders
• Ensure claims are processed within defined service level agreements (SLAs)
• Maintain accurate claim records and documentation in claims processing systems
• Collaborate with quality, compliance, and audit teams to support continuous improvement
• Adhere to privacy, confidentiality, and regulatory standards at all times

Qualifications

• 6 Months of experience in claims adjudication, insurance operations, or related roles
• Experience in healthcare, disability, life, auto, or property & casualty claims (preferred, role dependent)
• 6 Months of Work from home environment
• High school diploma or GED

Preferences

• Strong attention to detail and analytical skills
• Solid understanding of insurance policies, benefits, and claims procedures
• Ability to interpret complex regulations and contractual language
• Effective written and verbal communication skills
• Ability to manage high claim volumes in a fast-paced environment
• Proficiency with claims processing systems and Microsoft Office tools
• Strong problem-solving and decision-making abilities

Benefits

• Medical, dental, and vision insurance with an employer contribution
• Flexible spending or health savings account
• Life and AD&D insurance
• Short- and long-term disability coverage
• Paid time off
• Employee assistance
• Participation in a 401k program with company match
• Additional voluntary or legally required benefits

Pay

$17.00/hr

Schedule

Monday-Friday 6:00 am ct to 6:00 pm (Central Time)