Join NTT DATA as a QA Analyst to support the validation and testing of AI-driven insurance claims processing workflows. This role focuses on meticulously reviewing AI-generated outputs to ensure accuracy and identify any data quality or workflow anomalies before claims are adjudicated.

Your expertise will be crucial in upholding the integrity of our claims processing system. You will work remotely, contributing to innovative solutions that enhance efficiency and accuracy.

Your core responsibilities will involve thorough review of AI-generated claim summaries and extracted data, comparing them against original source documents like UB-04s, itemized bills, claim forms, and medical records. You will validate the accuracy of critical adjudication fields, including admission/discharge dates, confinement status, and various codes.

Effectively identify missing, incorrect, or conflicting data that could affect claim processing. Document your QA findings in a structured manner, flagging any recurring or systemic issues for further investigation. Additionally, you will support regression testing efforts by comparing outputs from new releases with prior versions, noting any improvements or regressions.

A background in insurance claims processing or medical billing is essential for this role. You should have prior experience conducting structured QA or validation reviews, demonstrating a keen eye for detail and the ability to identify patterns.

While familiarity with hospital billing artifacts such as UB-04s and itemized bills is preferred, your strong attention to detail and analytical skills are paramount. This is a remote contract engagement lasting 8 weeks, primarily aligned with U.S. business hours (Central Time).