NTT DATA is seeking a skilled QA Analyst to join our team. This role focuses on supporting the validation and testing of AI-driven insurance claims processing workflows. The primary objective is to ensure the accuracy of AI-generated outputs, identify data quality issues, and troubleshoot workflow problems before claims are adjudicated.

This is a contract position with a duration of 8 weeks, operating on a remote work model. The schedule will primarily align with U.S. business hours (Central Time).

Key responsibilities include meticulously reviewing AI-generated claim summaries and extracted data against source documents such as UB-04 forms, itemized bills, claim forms, and medical records. You will validate the accuracy of crucial adjudication fields, including admission/discharge dates, confinement status, diagnosis and revenue codes, and level of care.

Additionally, you will pinpoint missing, incorrect, or conflicting data that could affect claim processing. Documenting QA findings in a structured format and flagging recurring or systemic issues is essential. You will also support regression testing, comparing outputs from new releases against previous versions to identify improvements or regressions.

A background in insurance claims processing or medical billing is required for this role. You should have experience performing structured QA or validation reviews. Familiarity with hospital billing artifacts like UB-04s and itemized bills is preferred.

Strong attention to detail and the ability to identify patterns are crucial for success in this position. The ideal candidate will be adept at ensuring the integrity and accuracy of complex data sets within claims processing.