Reinsurance Coordinator - Rewarding Work

NTT DATA Services strives to hire exceptional, innovative, and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We’re hiring for Health Plan Builder to work remote.

Role Responsibilities:

Principal Duties and Responsibilities:

- Work closely with our reinsurance carriers externally, as well as the Claim's Department internally, to ensure all claims eligible for stop loss reimbursement are received, reported and processed timely. Provides updates to internal teams, vendors and clients as needed.
- Complete and file appropriate documentation to reinsurance carriers for specific and aggregate claims. This includes but is not limited to 50% notifications, claim reimbursements, additional information as requested by the carrier, etc.
- File stop loss reimbursement claims for assigned clients according to the requirements of each stop loss contract.
- Monitor reimbursements from stop loss carrier.
- Work with general underwriters, carriers and clients to resolve any issues regarding stop loss reimbursement.
- Updates current spreadsheet of filed and outstanding reinsurance claims as well as denied claims.
- Creates, maintains, and distributes weekly and monthly reporting to the CFO, Claims Director and Client Relations Consultants (per assigned client).

Requirements:

• High School Education required, come college preferred.
• Minimum 1 year experience working with Reinsurance Carriers
• Minimum 1 year experience handling stop loss claims
• Minimum 3 years experience in the Healthcare claims Industry
• Experienced working in a TPA Environment

Preferred Skills:
Strong analytical and problem-solving skills.

• Must be able to perform data entry operations quickly and accurately.
• Strong computer skills, including Word, Excel, Outlook, and Claims System organization.
• Basic understanding of accounting procedures.
• ICD-10 and CPT code experience preferred.
• Must be highly organized and detail oriented
• Excellent written and verbal communication skills.

NTT DATA Services is a recognized leader in IT and business services, including cloud, data, and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.

NTT DATA Services is an equal opportunity employer and considers all applicants without regarding 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 committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $22-$23. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.
This position may also be eligible for incentive compensation based on individual and/or company performance.

This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.