Account Manager

Senior Stop Loss Account Specialist

Stop Loss Administration | Broker Support | Policy Management | Managed Care Operations

As a Senior Stop Loss Account Specialist for the Managed Care business, 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 one of our offices:

• Hamilton, NJ
• West Hartford, CT
• Harleysville, PA

We offer a hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.

What you can expect:

• Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
• Internal mobility opportunities
• Visibility to senior leaders and partnership with cross functional teams
• Opportunity to impact change
• 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 and professional continuing education

We'll count on you to:

• Managed Care Submissions – 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.
• Broker Interface – 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 claims folders - save all documents i.e. policies, fee schedules, DOFR's and disclosure files for claim adjudication.
• Auditor Liaison – work with internal and external auditors to coordinate documentation of MC processes and workflow, premium tracking and other required documentation.
• As needed tasks – ie, provide calculations of retained and agg corridors for claims, track experience refunds due, and coordinate with actuarial to confirm calculations and eligibility.

What you need to have:

• Bachelors degree or equivalent experience
• 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

The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include:

• Base Salary Range: $70,000-$80,000
• Eligible to participate in annual discretionary bonus.
• Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.