Supervisor, Stop Loss

Allied Benefit Systems•Chicago, IL

2d•$60,000 - $65,000•Remote

About The Position

The Supervisor, Stop Loss is responsible for assisting the Manager, Stop Loss with overseeing the department. Duties include auditing and tracking stop loss claim filings, reimbursements, and cash advance claims to ensure the department is running in an efficient and thorough manner. The Supervisor, Stop Loss also works closely with Stop Loss Data Specialist and Reimbursement Specialist on administrative, organizational, and auditing functions.

Requirements

Bachelor’s degree or equivalent work experience required.
At least 5 years group health insurance/benefits experience required.
At least 2 years supervisory experience required.
Must be highly proficient in the use of Microsoft Word, Excel, and Outlook
Must have the ability to easily learn new computer applications.

Responsibilities

Perform weekly audits of specific claims to ensure all claims were filed correctly and all reimbursements have been received.
Update and manage the stop loss tracking and specific logs to monitor the current status of members over the specific deductible.
Review and accurately record stop loss reimbursements.
Gather and prepare the data required to file Rx stop loss claims.
Responsible for the filing of aggregate claims and securing reimbursements.
Assist with making claim adjustments.
Organize the enrollment of new clients into the ACH reimbursement program.
Lead, coach, motivate and develop. Responsible for one on one meetings, performance appraisals, growth opportunities and attracting new talent.
Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed.
Actively engage, coach, counsel and provide timely, and constructive performance feedback.
Other duties as assigned.