Reinsurance Operations Specialist

2 weeks ago


Decatur, Illinois, United States NTT DATA Full time
NTT DATA Services is dedicated to attracting outstanding, innovative, and enthusiastic professionals who aspire to develop their careers with us. We invite you to consider a role within a diverse, adaptable, and forward-thinking organization.

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.
Qualifications:
  • 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.
Preferred Skills:
  • 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.

  • Decatur, Illinois, United States NTT DATA Full time

    NTT DATA Services is dedicated to hiring outstanding, innovative, and driven individuals who aspire to advance their careers with us. We are looking for a Reinsurance/Stop Loss Coordinator to work remotely.Key Responsibilities:Collaborate closely with external reinsurance carriers and internal Claims Department to ensure timely receipt, reporting, and...


  • Decatur, Illinois, United States NTT DATA Full time

    NTT DATA Services is dedicated to hiring outstanding, innovative, and enthusiastic individuals who aspire to develop their careers with us. We are looking for a Reinsurance/Stop Loss Coordinator to work remotely.Key Responsibilities:Collaborate closely with external reinsurance carriers and internal Claims Department to ensure timely receipt, reporting, and...


  • Decatur, Illinois, United States Spectrum Full time

    Job SummarySpectrum is seeking a highly skilled and motivated Field Operations Specialist to join our team. As a Field Operations Specialist, you will be responsible for delivering exceptional customer service and technical expertise to our customers in the field.Key ResponsibilitiesInstall and repair services for residential customers, ensuring a high level...


  • Decatur, Illinois, United States Jobot Full time

    Position Overview:We are looking for a meticulous and experienced Financial Operations Specialist to enhance our dynamic finance team. This role is fully remote and offers a competitive hourly rate between $35 and $40.About Us:We are a well-established and expanding healthcare organization dedicated to providing exceptional services.Why Work With Us?-...


  • Decatur, Illinois, United States DeKalb County Full time

    Job SummaryThis is a challenging and rewarding role that requires a high level of technical expertise and attention to detail. As a Plant Operations Specialist, you will be responsible for ensuring the safe and efficient operation of water and wastewater treatment facilities in compliance with federal, state, and local regulations.Key ResponsibilitiesOperate...


  • Decatur, Illinois, United States DeKalb County Full time

    Job SummaryWe are seeking a highly skilled Plant Operations Specialist to join our team at DeKalb County. As a key member of our operations team, you will be responsible for ensuring the safe and efficient operation of our water and wastewater treatment facilities.Key ResponsibilitiesOperate and maintain water and wastewater treatment facilities in...


  • Decatur, Illinois, United States Jobot Full time

    Job OverviewExperienced Financial Operations Specialist (FULLY REMOTE) with Advanced Excel Skills RequiredThis opportunity is presented by Jobot Consulting.About Us:We are a well-established and expanding organization in the healthcare sector.Benefits of Working With Us:Career Advancement OpportunitiesExcellent Work-Life BalanceCompetitive Compensation...


  • Decatur, Illinois, United States GeorgiaGov Full time

    The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) is seeking qualified candidates for the Financial Operations Specialist position.Job Grade: G-Salary $41Position Overview: This role encompasses a variety of financial responsibilities, including managing accounts payable, processing travel reimbursements, and overseeing...


  • Decatur, Illinois, United States GeorgiaGov Full time

    Job Summary: The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) is seeking a highly skilled Financial Operations Specialist to join our team at Georgia Regional Hospital - Atlanta.Job Responsibilities:Execute financial tasks with minimal supervision, ensuring accuracy and efficiency.Act as a subject matter expert in assigned...


  • Decatur, Illinois, United States LHC Group Full time

    Job SummaryThe Operations Leadership Support Specialist provides critical support to our clinical operations teams, serving as an extension of our leadership and management structure. This role requires a strong clinical background, excellent communication skills, and the ability to travel nationwide to support our integration activities.Key...


  • Decatur, Illinois, United States Heidelberg Materials US, Inc. Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Terminal Operations Specialist to join our team at Heidelberg Materials US, Inc. in Plainfield, IL. As a Terminal Associate, you will be responsible for the daily maintenance of equipment and the loading and unloading of bulk and packaged cement.Key ResponsibilitiesBe involved in and aware of all...


  • Decatur, Illinois, United States Heidelberg Materials US, Inc. Full time

    About the RoleWe are seeking a highly skilled and motivated Terminal Operations Specialist to join our team at Heidelberg Materials US, Inc. in Plainfield, IL.Key Responsibilities:Participate in and be aware of all aspects of the day-to-day cement terminal operation.Participate in the loading and unloading of cement products from railcars or bulk...


  • Decatur, Illinois, United States LHC Group Full time

    Job SummaryThe Operations Leadership Support Specialist provides critical support to our Hospice operations team as an ED, DCO, or PCM, either on-site or remotely, based on assignment. This role involves educating and supporting employees at new acquisition sites on all aspects of LHC processes, policies, and applicable clinical software in a professional,...


  • Decatur, Illinois, United States Garda World Security Full time

    Position OverviewGardaWorld Security Services is seeking a dedicated Security Operations Specialist. This role is ideal for individuals who possess the right skills and are looking for an opportunity to maximize their potential. At GardaWorld, we understand that every day presents unique challenges, offering diverse assignments and flexible schedules.About...


  • Decatur, Illinois, United States GardaWorld Full time

    Position Overview GardaWorld - Security Solutions At GardaWorld, we recognize that you possess the right skills. What you need is the right platform to showcase your potential. We are actively seeking talented individuals to join our team. Every day presents unique challenges at GardaWorld, offering a variety of assignments and adaptable schedules. As...


  • Decatur, Illinois, United States LHC Group Full time

    Job SummaryThe Operations Leadership Support Specialist provides support as an Executive Director, Director of Clinical Operations, or Program Manager either onsite or remotely based on assignment. This role will also be available to educate and support employees of new acquisition sites on all aspects of LHC processes, policies, and applicable clinical...


  • Decatur, Illinois, United States LHC Group Full time

    Job SummaryThe Operations Leadership Support Specialist provides critical support to our operations teams as an ED, DCO, or PCM, either on-site or remotely, based on assignment. This role involves educating and supporting employees at new acquisition sites on all aspects of LHC processes, policies, and applicable clinical software in a professional, clear,...


  • Decatur, Illinois, United States The Sherwin-Williams Company Full time

    Customer Engagement Specialist Role at Sherwin-WilliamsOur retail locations are in search of committed Customer Engagement Specialists to deliver outstanding service to our esteemed clientele. In this role, you will collaborate closely with both wholesale and retail customers to comprehend their requirements, address inquiries regarding our offerings, and...

  • Registered Nurse

    2 weeks ago


    Decatur, Illinois, United States LanceSoft Full time

    Position Overview:LanceSoft is currently in search of a skilled Registered Nurse specializing in the Operating Room for a travel nursing opportunity.Job Specifications:Specialty: Operating RoomDiscipline: RNDuration: 13 weeksWeekly Hours: 40 hoursShift: 10 hours, daysEmployment Type:Travel NursingBenefits:Comprehensive Medical & Health Insurance from Day One...


  • Decatur, Illinois, United States Dekalb Women's Specialists Full time

    Job OverviewWe are seeking an experienced EClinical Software Specialist to oversee our front desk operations and facilitate software training initiatives.Key ResponsibilitiesProvide comprehensive training to current staff on EClinical software.Assist in the management of office operations at our location.Demonstrate enthusiasm and expertise in EClinical...