Senior Stop Loss Specialist

Imagine360 • ,

2d • Remote

About The Position

Imagine360 is seeking a Senior Stop Loss Specialist to join the team! This position coordinates the tracking, monitoring, documenting and submission of stop loss claims. This position maintains a comprehensive understanding of the plan document(s) under their scope of responsibility. Position Location: 100% remote

Requirements

• High School Diploma or GED.
• 1+ years' experience in clerical and customer service
• Knowledge of medical terminology
• Working knowledge of computers and software including but not limited to Microsoft Office products
• Proficient mathematical, 10-key and typing skills
• Demonstrated organizational skills, problem-solving, analytical skills and detail oriented
• Demonstrated ability to remain neutral and maintain confidentiality
• Strong written and oral communication skills
• Demonstrated ability to work independently, prioritize workloads multi-task and manage priorities in order to meet deadlines

Responsibilities

• Compiles and submits stop loss claims to the carrier for reimbursement.
• Enters appropriate stop loss claims into designated database.
• Identifies, researches, and resolves stop loss carrier questions.
• Facilitates advancement funding with Finance Department.
• Complies with reporting and documentations requirements.
• Manages large case notifications process.
• Acts as a role model in demonstrating the core values in customer service delivery.
• Provides timely and thorough follow up with internal and external customers.
• Appropriately escalates difficult issues up the chain of command.
• Trains new employees as assigned.
• Serves on committees, work groups, and/or process improvement teams, as assigned, to assist in improving customer satisfaction.
• Recognizes, documents, and alerts appropriate supervisor of trends.
• Performs self-quality monitoring in order to develop and execute plans to meet established goals.
• Provides ongoing feedback to help optimize quality performance.
• Collaborates with others and cross-departmentally to improve or streamline procedures.
• Develops new or improves current internal processes to improve quality.

Benefits

• Multiple Health plan options
• Company paid employee premiums for disability and life insurance
• Parental Leave Policy
• 20 days PTO to start
• 10 Paid Holidays
• Tuition reimbursement
• 401k Company contribution
• Company paid Short & Long term Disability plus Life Insurance
• Professional development initiatives / continuous learning opportunities
• Opportunities to participate in and support the company's diversity and inclusion initiatives

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED