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Medical Mutual · 2 weeks ago

TPA Services Proposal Coordinator

Cleveland, OH 44144, USA

Full-time

Hybrid

Senior Level

5+ years exp

Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio, providing peace of mind to over 1.2 million members. The TPA Services Proposal Coordinator will assist in the development and submission of bids and proposals for Third Party Administration services, ensuring that customer needs are met through effective data gathering and proposal preparation.

Health CareHealth InsuranceInsuranceLife Insurance

Culture & Values

Responsibilities

Prepares data reporting packages for the marketing of stop loss coverage. Runs reports from internal systems and gathers pertinent client data (e.g., claims, eligibility, etc.) to enable sales to shop stop loss and administrative fees

Interacts with Sales/Service Team, stop-loss and other vendors to firm the stop loss renewal and place new coverage. Follows through until final issuance of the policy

Prepares proposal for delivery to the client which includes administrative fee renewal and financial illustration of the stop loss renewal and marketing results

Maintains internal data and coordinates plan information

Prepares standard legal documents and fully executed policies as applicable. Files appropriately

Performs other duties as assigned

Qualification

Health insurance knowledgeStop-loss expertiseClaims adjudication systemsMicrosoft OfficeMath skillsCommunication skillsTeam collaborationProblem-solving

Required

Associate Degree in Business or Healthcare Administration, Finance or related field

5 years experience in health insurance sales operations support or related area, which includes working with stop loss carriers

Thorough knowledge of health insurance benefits, self-funding, stop-loss, and medical management

Knowledge of claims adjudication systems

Strong math skills

Intermediate Microsoft Office skills (Word, Excel)

Preferred

Ohio Life and Health Insurance License a plus

Benefits

Employee bonus program.

401(k) with company match up to 4% and an additional company contribution.

Health Savings Account with a company matching contribution.

Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.

Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.

Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.

After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

Career development programs and classes.

Mentoring and coaching to help you advance in your career.

Tuition reimbursement up to $5,250 per year, the IRS maximum.