Senior Stop Loss Account Specialist

Company Details

 

 

Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics, we can help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident. The key to Berkley’s success is our nimble approach to risk – our ability to quickly understand, think through, and devise a plan that addresses each client’s challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation, is one of the largest and best managed property/casualty insurers in the United States. 

#LI-AV1 #LI-HYBRID 

The Company is an equal employment opportunity employer.

Responsibilities

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.

Qualifications

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

Additional Company Details

We do not accept any unsolicited resumes from external recruiting agencies or firms. 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. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Additional Requirements

Internal employees should apply via Workday to the internal careers site.

Sponsorship Details

Sponsorship not Offered for this Role

Responsibilities

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.