Stop Loss Coordinator

Position Purpose

Provides reinsurance support for new and renewal business, underwriting, claims audit/record keeping and/or other functions. May perform calculations and process general accounting requests for billing or payments, and/or check the status of claims and process policy changes. Provides customer service to clients and partners. Runs reports as needed.

Logistics

Stop Loss | International Specialty Underwriters, Inc., one of BlueCross BlueShield of South Carolina’s subsidiary companies.

Location

This position is full-time (40-hours/week) Monday-Friday in a typical office environment located at 10199 Southside Blvd, Suite 205, Jacksonville, FL 32256.

What You’ll Do

• Processes mail, email and faxes to maintain departmental productivity, quality and timeliness standards.
• Maintains logs.
• Affords routine premium billing statements and/or various reports.
• Maintains filing systems.
• Collaborates on communication of information between reinsurance companies and various internal and external areas.
• Reviews documentation for completeness, and may rate new business, order required reports within timeliness standards, determine benefits, issue new policies, and/or report surplus lines taxes.
• Requests additional information when needed within timeline standards.
• Accurately documents process changes.
• Checks status of claims or notices and may service existing accounts by processing endorsements/amendments, identifying problems, and responding to inquiries.
• May review disbursement requests for large case management claims and other specific diagnosis codes, and forward to claims for detailed review.
• Ensures effective customer relations by responding accurately, timely, and courteously to telephone or written customer inquiries.
• Accurately documents inquiries.

Qualifications

• High School Diploma or equivalent.
• 1 year customer service or administrative experience.
• Excellent verbal and written communication skills.
• Good human relations skills.
• Strong research ability.
• Ability to function in a high-pressure environment with minimum supervision.
• Ability to handle confidential or sensitive information with discretion.
• Strong organizational skills.
• Proven customer service skills.
• Good judgment.
• Proficient spelling, punctuation, grammar, and basic math skills.

Preferred Qualifications

• Associate Degree-Business Administration or related field.
• 2 years-customer service, operations support, underwriting experience, or claims experience.
• Intermediate Excel skills.

Benefits

• Subsidized health plans, dental and vision coverage.
• 401k retirement savings plan with company match.
• Life Insurance.
• Paid Time Off (PTO).
• On-site cafeterias and fitness centers in major locations.
• Education Assistance.
• Service Recognition.
• National discounts to movies, theaters, zoos, theme parks and more.