Claims Data Specialist Job at NSM Insurance Group, LLC
Overview:
NSM’s Healthcare Solutions division is focused on delivering innovative risk solutions in the field of medical stop loss insurance and managed care insurance.
The division is comprised of three leading programs — Sequoia Reinsurance Services, IOA Re and Rockport Benefits. These programs focus on supporting clients and brokers in a rapidly changing healthcare market with best-in-class service, underwriting, claims and effective cost containment strategies.
Healthcare Solutions is part of NSM Insurance Group, the nation’s leading specialty insurance provider with more than $1.5 billion in premium across 25+ specialty insurance programs and brands in the U.S. and U.K. For more than 32 years, the company has been exclusively focused on building successful insurance programs and continually seeks new opportunities to grow and expand through strategic mergers and acquisitions.
Relationships are paramount at NSM because we know that’s what drives mutual, long-term success. We maintain an entrepreneurial spirit and startup mindset within an established organization that continues to redefine what specialty insurance means and how it impacts everyday lives. Employee are given endless opportunities to expand their interests and skillsets, push breakthrough ideas and take risks. Our open, supportive environment gives employees the confidence to take ownership of their work as if the business was their own.
At NSM, we Build Success every day for our people, carrier partners, agents and insureds — because we know our success is built on yours.
The Claims Data Specialist will administer reinsurance claims data reporting for excess risk and stop loss contracts. This position will coordinate closely with team members in California, Kansas, Minnesota, and Pennsylvania. To succeed in this role, the ideal candidate should be analytical, resourceful, and self-motivated. Being an excellent communicator who is willing to speak up and offer ideas and suggestions is key!
NSM’s Healthcare Solutions division is focused on delivering innovative risk solutions in the field of medical stop loss insurance and managed care insurance.
The division is comprised of three leading programs — Sequoia Reinsurance Services, IOA Re and Rockport Benefits. These programs focus on supporting clients and brokers in a rapidly changing healthcare market with best-in-class service, underwriting, claims and effective cost containment strategies.
Healthcare Solutions is part of NSM Insurance Group, the nation’s leading specialty insurance provider with more than $1.5 billion in premium across 25+ specialty insurance programs and brands in the U.S. and U.K. For more than 32 years, the company has been exclusively focused on building successful insurance programs and continually seeks new opportunities to grow and expand through strategic mergers and acquisitions.
Relationships are paramount at NSM because we know that’s what drives mutual, long-term success. We maintain an entrepreneurial spirit and startup mindset within an established organization that continues to redefine what specialty insurance means and how it impacts everyday lives. Employee are given endless opportunities to expand their interests and skillsets, push breakthrough ideas and take risks. Our open, supportive environment gives employees the confidence to take ownership of their work as if the business was their own.
At NSM, we Build Success every day for our people, carrier partners, agents and insureds — because we know our success is built on yours.
The Claims Data Specialist will administer reinsurance claims data reporting for excess risk and stop loss contracts. This position will coordinate closely with team members in California, Kansas, Minnesota, and Pennsylvania. To succeed in this role, the ideal candidate should be analytical, resourceful, and self-motivated. Being an excellent communicator who is willing to speak up and offer ideas and suggestions is key!
This position will be located in our Plymouth, MN office, hybrid schedule, 2-3 days onsite**
Responsibilities:
- Promote, build, and maintain relationships with clients and brokers.
- Receive and interpret claim submissions in a variety of formats. Perform initial evaluation to ensure submissions are complete.
- Coordinate data transmission with vendors while maintaining HIPAA security compliance.
- Utilize proprietary claims software to upload, organize and track high volumes of data.
- Create and analyze outbound claim reporting for key partners. Respond to inquiries and provide supporting details as necessary.
- Collaborate in the implementation of Sequoia’s proprietary claim adjudication software and systems.
- Work closely with senior claims staff to maximize efficiency and ensure all claim department needs are met.
- 2+ years’ experience with high volume data sets, preferably including healthcare claims data.
- Knowledge of medical claims coding, including key data fields from professional, facility and pharmaceutical reporting.
- Strong Microsoft Office skills, particularly Excel including pivot tables, Outlook, and Word.
- Strong written and oral communication skills.
- Skillful at managing multiple priorities and handling interruptions.
- Work independently and as part of a team.
- Can-do attitude is key; eagerness to jump in and roll up your sleeves.
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