Senior Stop Loss Representative

About the role

Manage Inventory
Maintain claimant files.
Update group/broker/carrier contact information as needed.
Distribute monthly stop loss reporting.
Process external PBM files monthly.
Open tickets for issues and follow through to resolution.
Follow up on all open items timely.
Reconcile accounts, communicate discrepancies immediately.
Manage working relationships with internal and external business partners.
Attend meetings to resolve issues as needed.

Responsibilities

• Manage Inventory
• Maintain claimant files.
• Update group/broker/carrier contact information as needed.
• Distribute monthly stop loss reporting.
• Process external PBM files monthly
• Open tickets for issues and follow through to resolution.
• Follow up on all open items timely.
• Reconcile accounts, communicate discrepancies immediately.
• Manage working relationships with internal and external business partners.
• Attend meetings to resolve issues as needed.
• Perform other duties as necessary or appropriate for the position.

Requirements

• Bachelor's degree in business operations or equivalent work experience
• More than two years working in an operations environment.
• Knowledge of claims processing preferred.
• Previous experience in Reinsurance or Stop Loss/Healthcare experience preferred.
• Experience working in a production driven environment.
• Self-starter, highly motivated problem solver with the ability to work independently.
• Ability to multi-task and handle deadline driven assignments.
• Ability to perform appropriate research, make responsible decisions and demonstrate customer-oriented professionalism.
• Strong organization skills and attention to detail capabilities are required.
• Strong communication and competency skills are necessary.
• Ability to follow documented procedures and instructions.
• Cross-functional team collaboration abilities are required.

Qualifications

• Bachelor's degree in business operations or equivalent work experience
• More than two years working in an operations environment.

Skills

• Self-starter, highly motivated problem solver with the ability to work independently.
• Ability to multi-task and handle deadline driven assignments.
• Ability to perform appropriate research, make responsible decisions and demonstrate customer-oriented professionalism.
• Strong organization skills and attention to detail capabilities are required.
• Strong communication and competency skills are necessary.
• Ability to follow documented procedures and instructions.
• Cross-functional team collaboration abilities are required.

Benefits

• Equal Employment Opportunity
• Inclusion and Belonging
• About Our Company
• Equal Employment Opportunity
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