Sr Managed Care Account Manager
About The Position
Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics, we can help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident. The key to Berkley’s success is our nimble approach to risk – our ability to quickly understand, think through, and devise a plan that addresses each client’s challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation, is one of the largest and best managed property/casualty insurers in the United States. As a Senior Account Manager for Managed Care, you will handle the day to day activity associated with our stop loss accounts, providing support to policyholders, brokers and program sponsors as well as providing back to the AVP, Underwriting/Managed Care. We'll also trust you to be responsible for special projects and managing vendor relationships for the division. This role will be based in our Hamilton, NJ office. We offer a hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.
Requirements
- Bachelors’ degree
- Minimum of 5+ years’ experience in Account Management and Stop Loss
- Strong multi-tasking ability
- Strong time management skills
- Proficient in Microsoft Word and Excel
- Strong consulting and interpersonal skills with an ability to interact with brokers, clients and service vendors
Responsibilities
- Handle the day to day activity associated with our stop loss accounts, providing support to policyholders, brokers and program sponsors as well as providing back to the AVP, Underwriting/Managed Care.
- Be responsible for special projects and managing vendor relationships for the division.
- Download all RFP’s.
- Review submission for missing data and follow up with brokers to acquire.
- Maintain the MC quote log, which enables tracking of all RFP’s.
- Set up Renewals.
- Preparation of all policies and agreements as well as endorsements, and tracking and coordinating their execution.
- Broker liaison with BAH claim and finance departments.
- Implementation Manual updates and customization for new clients.
- Monthly Premium Reconciliation and Tracking.
- Creating and Maintaining Davies/Claims folders - save all documents i.e. Policies, Fee Schedules, DOFR’s and disclosure files for claim adjudication.
- Work with internal and external auditors to coordinate documentation of MC processes and workflow, premium tracking and other required documentation.
- Provide calculations of Retained and Agg corridors for claims, track experience refunds due, and coordinate with actuarial to confirm calculations and eligibility.
Benefits
- competitive compensation
- paid time off
- comprehensive wellness benefits and programs
- employer funded health savings account
- profit sharing
- 401k
- paid parental leave
- employee stock purchase plan
- tuition assistance
- professional continuing education
- Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
