Senior Stop Loss Representative jobs in United States
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Independence Blue Cross · 5 months ago

Senior Stop Loss Representative

positionPhiladelphia, Pennsylvania
timeFull-time
remoteOnsite
senioritySenior Level

Independence Blue Cross is seeking a Senior Stop Loss Representative to manage inventory and maintain claimant files. The role involves processing reports, reconciling accounts, and maintaining relationships with business partners.

Health CareHealth InsuranceInsuranceMedical

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

Qualification

Claims processingReinsurance experienceOperations environment experienceProblem solvingMulti-taskCross-functional collaborationOrganization skillsCommunication skillsAttention to detail

Required

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
Bachelor's degree in business operations or equivalent work experience
More than two years working in an operations environment
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
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app

Preferred

Knowledge of claims processing preferred
Previous experience in Reinsurance or Stop Loss/Healthcare experience preferred

Company

Independence Blue Cross

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Glassdoor3.5
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The leading health insurer in southeastern Pennsylvania. It is a sub-organization of Independence Blue Cross.
dateFounded in 1938
location
Philadelphia, Pennsylvania, USA
people-size5001-10000 employees
web-link
https://www.ibx.com

Funding

Current Stage
Late Stage

Leadership Team

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Alexandra Jorgensen
Senior Vice President Human Resources
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Joe Geist
SVP & Market President, National
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Recent News

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Company data provided by crunchbase