Stop Loss Underwriting Specialist

Cambia Health Solutions • Medford, OR

8d • $19 - $35 • Remote

About The Position

The Stop Loss Underwriting Specialist supports the Stop Loss Underwriting team through data entry, running, and reviewing claims reports. This role is responsible for completing contracts and fee schedules and handling all administration of them. Additionally, they complete travel and expenses for stop loss director and team when applicable, and provide other administrative support as directed – all in service of creating an economically sustainable health care system.

Requirements

• High School diploma or GED
• 4 years office, data entry or equivalent combination of education and experience, preferably in a health care environment.
• Demonstrated ability to exercise sound judgment, initiative and discretion in a mature, sensitive and confidential manner.
• Proven attention to detail and accuracy in data entry and other administrative tasks.
• Computer skills including experience using Microsoft Office (Word, Excel, Outlook) or comparable software and ability to learn and use complex systems.
• Ability to organize, prioritize and manage multiple tasks with little supervision.
• Demonstrated ability to establish effective working relationships with coworkers and customers and to both work well independently and on a team.
• Ability to communicate effectively both orally and in writing.
• Knowledge of medical terminology, insurance billing and claims coding.
• Demonstrated strong problem solving skills and ability to investigate and resolve complex issues.
• Demonstrated ability to consistently meet productivity and quality standards with minimal support.
• Employees are required to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

Nice To Haves

• Knowledge of stop loss claims processing preferred.
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

Responsibilities

• Perform data input for all new stop loss cases and/or claims.
• Enter all required fields to generate explanation of benefit forms and/or Stop Loss contracts and apply the appropriate fee schedule.
• Run reports, review and analyze data and identify any areas of concern.
• Run data downloads and reporting.
• Review data and prepare management reports.
• Understand Stop-Loss policy language and terms.
• May assist with travel and completing expense reports.

Benefits

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

What This Job Offers

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