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Stop Loss Underwriter/consultant - MEDICAL NOT MORTGAGE.

  • Location:

    New York

  • Sector:

    Life Insurance, Underwriting & Claims

  • Job type:

    Permanent

  • Salary:

    US$80000 - US$125000 per annum

  • Contact:

    Matt Duckworth

  • Contact email:

    Matt.Duckworth@oliverjames.com

  • Job ref:

    JOB-042022-167086_1694547328

  • Published:

    9 months ago

  • Expiry date:

    2023-10-12

At least 2 years experience and the following.

Stop loss Medical/consultant experience.

  • Must have strong knowledge of all life, disability, health, and dental areas (both financial and benefits) for multiple insurance companies or TPA vendors.

Contact once you have applied:
Matt Duckworth - 6463986901
Matt.duckworth@oliverjames.com



ESSENTIAL JOB DUTIES AND RESPONSIBILITIES

  • Provide strategic planning and consulting advice to clients as related to Stop Loss Coverage
  • Collect, review and prepare data to issue to market for quotes into the stop loss program(s)
  • Work with teams to educate and explain process and coverage options
  • Underwriting analysis of prospective entrants into program
  • Assist with the implementation process with teams, TPA's and stop loss carriers
  • Assist in the review of all agreements and/or documents related to client's stop loss coverage including policy and ASO agreement
  • Manage ongoing case and experience data to help recommend implement appropriate case management and cost recovery programs.
  • Review of Program(s) experience and provide executive summary of strength of program, loss ratios and recommendations to correct and/or work with carrier to resolve.
  • Track program premium and commissions and work with Client Service Team or Broker to help resolve any client deficiencies.
  • Meet with teams alone or in conjunction with Team or Company Leadership to review monthly a) large claims, b) abnormal utilization results, c) managed care and ongoing case management opportunities.
  • Assist in working with carriers to deliver monthly reporting
  • Assist with client/carrier issue resolution including but not limited to gray claims resolution.
  • Review all agreements and/or documents for accuracy.
  • Coordinate workflow with Associate Account Executives and/or Account Executive.
  • Participate in monthly LDBC meetings.
  • Participate in annual plan/business planning process.
  • Ability to supervise and interview potential candidates for team employment.
  • Ensure prompt payment of all commission and fee revenue for client work.
  • Other responsibilities as required.
EDUCATION, EXPERIENCE, AND SKILLS REQUIRED

  • Bachelor's Degree in business or related field with heavy emphasis in marketing and finance, or equivalent education and experience.
  • Six years insurance industry experience.
  • Must have strong knowledge of all life, disability, health, and dental areas (both financial and benefits) for multiple insurance companies or TPA vendors.
  • Must be knowledgeable on compliance requirements and be current with state and federal legislation in this area.
  • Excellent computer skills required with strong knowledge of software packages.
  • Must have strong knowledge of vendor and competitors strengths and weakness.
  • Must have excellent claims resolution expertise.
  • Current required licenses or ability to immediately obtain.
  • Excellent organizational and communication skills.
  • Must be available for travel and willing to accept responsibility for client/vendor entertainment.
  • Legal right to work in the United States.



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