Description

Job Summary: Manage the stop-loss claims process, including tracking claims accumulation, and preparing and filing stop loss claims in a timely and accurate manner. Additional responsibilities include collecting, modeling, and analyzing claims and financial data to support projects, initiatives, and the renewal process for our Employee Benefit clients.

• Manage the stop loss claims process to include preparation & filing in a timely and accurate manner while remaining accountable for their outcome
• Responsible for reporting to include Stop Loss, Actuarial and Underwriting Reporting, Claims Utilization Reviews and setting up new client data
• Organize accurate data from various self-service carrier reporting systems and data warehouses
• Interpret complex data from reports and graphs, distilling key insights and trends to inform stakeholders and facilitate decision-making in a clear and easily understandable format, demonstrating effective communication skills and self-motivation in taking appropriate next steps
• Work with key stakeholders to resolve issues, both internally and externally
• Partner with management team to identify business trends utilizing data and compile analysis reports for clients
• Demonstrate capacity to review team reports, ensuring they adhere to high standards of accuracy, conciseness, and coherency
• Remain accountable to complete tasks and stay organized with minimal oversight
• Other duties as assigned

Qualifications

• Bachelor’s Degree preferred.
• 2-5 years’ work experience preferred.
• Strong analytical skills with exceptional knowledge of Microsoft Excel required.
• Strong multi-tasking and time management skills
• Proficient in Microsoft Office products (Word, Excel, PowerPoint)
• Ability to efficiently handle multiple, simultaneous, and complex tasks and projects
• Ability to work in a fast-paced environment
• High level of professionalism and confidentiality

CAH Holdings, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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