Immanuel Chiplin
Strategic Lead Claims Data & Nsa Reimbursement @No Surprise Bill
Signup · Get unlimited contacts
WORK HISTORY
Strategic Lead Claims Data & Nsa Reimbursement @No Surprise Bill
As a Data Analyst at NSB, a leading Independent Dispute Resolution (IDR) vendor under the No Surprises Act, I specialize in analyzing healthcare claims data to support arbitration cases and drive reimbursement outcomes for out-of-network providers. My work helps providers and legal teams present strong data-backed positions in IDR filings and optimize financial recovery through strategic claims analysis.Key Responsibilities:Analyze commercial claims data to determine QPA (Qualifying Payment Amount), identify underpayments, and assess arbitration viability under the No Surprises Act.Develop financial pro formas to model reimbursement outcomes across multiple scenarios, including IDR wins/losses, payer behavior, and network decisions.Support NSB’s legal, analytics, and client-facing teams with claims-level insights and benchmarking to strengthen IDR submissions.Conduct CPT-level pricing analyses to evaluate median in-network rates and payer patterns across states and specialties.Build dashboards and reports to track collections, IDR outcomes, and fee exposure for clients across multiple filings.Collaborate with clients to structure and validate data for large-scale IDR filings.Tools & Technologies:Excel (Advanced data modeling, lookups, pivot tables)Power BI (Dashboards for claims tracking and financial impact)SQL (for preparing and analyzing large claims datasets)NSB’s internal IDR analytics and pricing toolsKey Achievements:Played a pivotal role in supporting successful IDR submissions, helping clients recover millions in disputed claims.Built a dynamic fee impact model used across NSB to assess upfront investment vs. potential collections for each IDR batch.Identified systemic underpayments by payers, resulting in stronger positions in IDR negotiations and arbitration.
EDUCATION
Zion Matriculation Higher Secondary
Higher Secondary
Sangai International University
Bachelor of Business Administration - BBA
Sangai International University
Master of Business Administration - MBA
ABOUT IMMANUEL CHIPLIN
Formerly an AVP of Sales, I’ve transitioned into a more data-intensive, strategy-driven…
This profile is compiled from publicly available professional sources. Unifers is not affiliated with or endorsed by LinkedIn. Request removal of this profile.