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 an 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.

Responsibilities

• Handle day-to-day activity associated with stop loss accounts, providing support to policyholders, brokers, and program sponsors.
• Serve as a liaison between brokers and BAH claim and finance departments.
• Prepare and manage policies, agreements, endorsements, and their execution.
• Update and customize implementation manuals for new clients.
• Perform monthly premium reconciliation and tracking.
• Create and maintain claims folders, saving all relevant documents such as policies, fee schedules, DOFR’s, and disclosure files for claim adjudication.
• Manage Managed Care Submissions: download RFP’s, review for missing data, follow up with brokers, and maintain the MC quote log for tracking.
• Set up renewals.
• Act as Auditor Liaison: coordinate documentation of MC processes, workflow, premium tracking, and other required documentation with internal and external auditors.
• Perform as-needed tasks, such as calculating retained and aggregate corridors for claims, tracking experience refunds, and coordinating with actuarial to confirm calculations and eligibility.
• Manage special projects and vendor relationships for the division.

Requirements

• 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

• Competitive compensation plan with a base salary range of $70,000-$80,000.
• Eligibility to participate in an annual discretionary bonus.
• Comprehensive benefits including health, dental, vision, life, and disability insurance.
• Wellness programs and paid time off.
• 401(k) and profit-sharing plans.
• Employer-funded health savings account.
• Paid parental leave.
• Employee stock purchase plan.
• Tuition assistance and professional continuing education.

Schedule

Hybrid work schedule with 4 days in the office and 1 day remote. This role may be based in one of the following offices: Hamilton, NJ; West Hartford, CT; or Harleysville, PA.