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Claims Examiner - Workers' Compensation Medical Only at NTT Data, Inc

Posted in Other 29 days ago.

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Type: Full Time
Location: New Haven, Connecticut





Job Description:

Description

Workers' Compensation Medical Only Examiner.
Connecticut License preferred, NY, NJ will be considered.

POSITION RESPONSIBILITIES:
Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters, and others.
Contribute to collaborative environment by consistently demonstrating teamwork, high motivation, behavior and effort to achieve goals and objectives.
Provide accurate and timely expense and loss assessments on Medical Only claims
Timely and appropriately communicate with internal and external customers
Consistently demonstrate fundamentally sound claim handling by achieving compliance in the areas of investigation, coverage, loss assessment, and case management.
Ensure the establishment, documentation, and execution of appropriate strategies to bring early resolutions to assigned claims.
Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines and completion of reporting forms.
Keep all files on a current diary system in order to monitor new developments, follow up on requests, update management and respond to all other diary activities in a timely manner.
COMPETENCIES/TECHNICAL SKILLS:
Prior experience handling medical only workers compensation claims A personal commitment to superior performance that adds value to our company and our customers.
An ability to work effectively with a wide variety of people.
An aptitude for evaluating, analyzing and interpreting information.
Superior telephonic skills
Excellent organizational skills a must.
The ability to multi-task along with proven time management skills.
An ability to work well in teams.
Demonstrated critical thinking and decision making ability.
Excellent verbal and written communication skills..

NTT DATA, Inc. (the Company ) is an equal opportunity employer and makes employment decisions on the basis of merit and business needs. The Company will consider all qualified applicants for employment without regard to race, color, religious creed, citizenship, national origin, ancestry, age, sex, sexual orientation, genetic information, physical or mental disability, veteran or marital status, or any other class protected by law. To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship to the Company would result.