Reinsurance Operations Specialist
2 weeks ago
Key Responsibilities:
- Collaborate closely with external reinsurance partners and internal Claims Department to ensure timely receipt, reporting, and processing of all claims eligible for stop loss reimbursement.
- Provide necessary updates to internal teams, vendors, and clients as required.
- Prepare and submit relevant documentation to reinsurance carriers for specific and aggregate claims, including but not limited to 50% notifications, claim reimbursements, and additional information as requested by the carrier.
- File stop loss reimbursement claims for designated clients in accordance with the stipulations of each stop loss contract.
- Oversee reimbursements from stop loss carriers.
- Engage with general underwriters, carriers, and clients to address any issues related to stop loss reimbursement.
- Maintain an updated spreadsheet of filed, outstanding, and denied reinsurance claims.
- Generate, maintain, and distribute weekly and monthly reports to the CFO, Claims Director, and Client Relations Consultants for assigned clients.
- High School diploma required; some college education preferred.
- A minimum of 1 year of experience working with Reinsurance Carriers.
- At least 1 year of experience managing stop loss claims.
- A minimum of 3 years of experience in the Healthcare claims sector.
- At least 1 year of experience in a Third-Party Administrator (TPA) environment.
- Ability to perform data entry tasks efficiently and accurately.
- Proficient in computer applications, including Word, Excel, Outlook, and Claims Systems.
- Basic knowledge of accounting practices.
- Familiarity with ICD-10 and CPT coding is preferred.
- Highly organized and detail-oriented.
- Exceptional written and verbal communication abilities.
About NTT DATA Services: NTT DATA Services is a recognized leader in IT and business services, encompassing cloud, data, and applications, with headquarters in Texas. As part of NTT DATA, a $30 billion global innovator with a reach across over 80 countries, we assist clients in transforming their businesses through consulting, industry and digital solutions, application development and management, managed edge-to-cloud infrastructure services, BPO, systems integration, and global data centers. We are committed to the long-term success of our clients.
NTT DATA Services is an equal opportunity employer and considers all applicants without regard 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 dedicated to fostering a diverse and inclusive environment for all employees. If you require assistance or accommodation due to a disability, please inform your recruiter for appropriate support.
Where legally required, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote position is $22-$24, reflecting the minimum and maximum target compensation across all US locations. Actual compensation will depend on various factors, including the candidate's work location, relevant experience, technical skills, and other qualifications.
This position is eligible for company benefits that may vary based on the nature of the role offered. Benefits may include medical, dental, and vision insurance, flexible spending or health savings accounts, life and AD&D insurance, short- and long-term disability coverage, paid time off, employee assistance programs, participation in a 401k plan with company match, and additional voluntary or legally required benefits.
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