Aggregate Claims Specialist

Job Description

Job Description

Join Our Team as an Aggregate Specialist at Amwins Self-Funded!

Are you eager to become a key player in our success story? We are looking for an enthusiastic Aggregate Specialist to join our dynamic team. In this role, you will learn the Amwins Self-Funded business model, understand our supported products, and play a pivotal role in providing exceptional aggregate claim management services for our Self-Funded clients by working with Third-Party Administrators. This is an in-office position that offers flexibility to work from home up to 2 days a week after completion of training.

Why Choose Amwins?

At Amwins, we prioritize our team members and offer a range of benefits:

• Flexibility: Enjoy a hybrid work environment with flexible scheduling options.
• Comprehensive Benefits: Access a competitive benefits package from day one, including generous Paid Time Off (PTO) and paid holidays.
• Continual Learning: Thrive in a collaborative, education-focused work environment.
• Annual Bonus Program: Earn incentives through our performance-based bonus program, designed to reward you for achieving key goals and contributing to the company's success.

Learn more about us at amwins.com.

What You'll Do:

• Claims Processing : Acquire expertise in all internal responsibilities related to the aggregate claim process.
• Subject Matter Expert : Become an Amwins Self-Funded subject matter expert on the aggregate claim process.
• Administrative Tasks : Coordinate and manage administrative tasks related to aggregate stop-loss claims, including report requests, review, research, and resolution on discrepancies, claim filing, and information requests.
• Aggregate Reporting: Complete and review monthly aggregate reports across all assigned accounts.
• Aggregate Accommodation Oversight : For accounts utilizing the monthly aggregate accommodation product, conduct enhanced review, communicate findings, and processing related claims as needed.
• Professional Communication : Communicate professionally, timely, clearly, and accurately with internal and external stakeholders regarding aggregate claims or the claim process.
• Resource Management : Build and maintain carrier resource information required for annual and monthly aggregate claim submissions.
• Adaptability : Undertake other duties and projects assigned.

What You'll Bring:

• Eagerness to Learn : A passion for learning our business model and understanding the products we work with.
• Education or Equivalent Experience : College degree or equivalent work experience is strongly preferred.
• Technical Proficiency : Proficiency with Microsoft Office products, including Word, Excel, Outlook, and PowerPoint.
• Confidentiality : Ability to maintain strict confidentiality.
• Adaptability : Capability to multi-task and adjust to changing priorities in a fast-paced environment.
• Time Management : Proven ability to effectively manage time, prioritize workload, and meet deadlines.
• Team Collaboration : Strong teamwork skills; ability to work cooperatively and jointly with various staff members.
• Organizational Skills : Strong organizational and multi-tasking skills.
• Communication Skills : Ability to effectively communicate, both written and verbally, with internal and external parties.
• Urgency and Attention to Detail : Sense of urgency and attention to detail are necessities.

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.  

The Amwins Advantage: Benefits & Perks

• Medical, Dental, Vision available your first day of employment
• Choice of medical plans through Blue Cross Blue Shield; Kaiser available for CA employees
• Mental health support including:
• Virtual therapy
• Digital coaching
• 24/7 EAP counseling
• Company-paid Basic Life & AD&D Insurance, Short-Term Disability, and Employee Assistance Program
• Health Savings Account with company contributions 
• Health Care FSA, Dependent Care FSA, and Commuter Benefits
• Parental Leave and Adoption Assistance
• Voluntary coverage options:
• Life Insurance
• Critical Illness
• Accident
• Identity Theft Protection
• Retiree medical benefits available for Medicare-eligible retirees
• 401(k) with company match
• Generous Paid Time Off and Company Holiday Schedule
• Collaborative, continuing education focused work environment
• Career advancement opportunities