Sr. Claims Examiner

Applicable Limited; Decatur (IL); On-site; USD 60,000 - 80,000; Full time

Job summary

A leading company is looking for a Sr. Claims Examiner in Decatur, Illinois. You will manage claims related to stop loss reimbursements, ensuring timely processing and reporting. Ideal candidates will have strong analytical skills and experience in claims management. Advance your career with a company committed to innovation and diversity.

Qualifications

• Experience in handling claims and reimbursements.
• Strong analytical and problem-solving skills.
• Familiarity with stop loss contracts.

Responsibilities

• Process and file claims for stop loss reimbursement.
• Coordinate with internal teams and external carriers.
• Maintain and report on claim statuses and issues.

Skills

Claims Management

Communication

Attention to Detail

Education

Bachelor's Degree

Job description

Req ID:328081

NTT DATA 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 are currently seeking a Sr. Claims Examiner to join our team in Decatur, Illinois (US-IL), United States (US).

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).

About NTT DATA

NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies.Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us atus.nttdata.com

NTT DATA endeavors to make https://us.nttdata.comaccessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us.This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.