Senior Stop Loss Account Specialist

Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics, we help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident. The key to Berkley’s success is our nimble approach to risk—our ability to quickly understand, think through, and devise a plan that addresses each client’s challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation, is one of the largest and best-managed property/casualty insurers in the United States.

About the role

As a Senior Stop Loss Account Specialist for the Managed Care business, you will handle the day-to-day activity associated with our stop loss accounts, providing support to policyholders, brokers, and program sponsors, as well as reporting to the AVP, Underwriting/Managed Care. You will also be responsible for special projects and managing vendor relationships for the division.

This role will be based in one of our offices: Hamilton, NJ; West Hartford, CT; or Harleysville, PA. We offer a hybrid work schedule with 4 days in the office and 1 day remote where it makes sense to do so.

Responsibilities

• Managed Care Submissions – download all RFPs, review submissions for missing data, and follow up with brokers to acquire it. Maintain the MC quote log to track all RFPs and set up renewals.
• Broker Interface – prepare all policies, agreements, and endorsements, and track and coordinate their execution. Serve as the broker liaison with BAH claim and finance departments.
• Implementation Manual updates and customization for new clients.
• Monthly premium reconciliation and tracking.
• Create and maintain claims folders—save all documents such as policies, fee schedules, DOFRs, and disclosure files for claim adjudication.
• Auditor Liaison – work with internal and external auditors to coordinate documentation of MC processes and workflow, premium tracking, and other required documentation.
• As-needed tasks, such as providing calculations of retained and aggregate corridors for claims, tracking experience refunds due, and coordinating with actuarial to confirm calculations and eligibility.

Qualifications

• Bachelor’s degree or equivalent experience.
• Minimum of 5+ years’ experience in Account Management and Stop Loss.
• Strong multi-tasking and time management skills.
• Proficient in Microsoft Word and Excel.
• Strong consulting and interpersonal skills with an ability to interact with brokers, clients, and service vendors.

Benefits

• Base Salary Range: $70,000–$80,000.
• Eligible to participate in an annual discretionary bonus.
• Health, Dental, Vision, Life, and Disability insurance.
• Wellness programs.
• Paid Time Off.
• 401(k) and Profit-Sharing plans.
• Paid parental leave.
• Employee Stock Purchase Plan.
• Tuition assistance and professional continuing education.

The actual salary for this position will be determined by factors such as the scope, complexity, and location of the role; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment.