Stop Loss Claims Support

Review complex claims and/or related situations. Makes decisions that may require deviating from normal guidelines. Must use discretion and critical thinking in decision-making.

Responsibilities

Review complex claims and/or situations and make informed decisions that may require judgment by providing directions on excess risk claims; Respond to internal and external claim or reporting inquiries from managers, brokers, general agents, and administrators; Provide direction, develop, train, and mentor less experienced claims staff, including completing audits and providing feedback; Manage claim suspense accounts that will ensure accurate claim processing, appropriate financial reporting, and controls; Manage mid-policy period and year end audit; Assist in developing and implementing process improvement; Participate and/or facilitate various department and/or company project and special initiatives; Stop Loss Claims Systems Testing; Other duties and projects as assigned

Requirements

High School Diploma or GED; Minimum 3-5 years claims or insurance experience; Knowledge of industry related claim systems and practices; Proficiency in MS Excel (macros, pivots and formulas); Proven analytical and problem-solving skills and attention to detail; Demonstrated leadership skills; Excellent interpersonal and negotiation skills; Excellent written and oral communication skills

Nice to have

Bachelor's degree preferred

Benefits

Health, dental, vision and life insurance plans; 401(k) Savings plan with company matching contributions (up to 6%); Voya Retirement Plan employer paid cash balance retirement plan (4%); Tuition reimbursement up to $5,250/year; 20 days paid time off, nine paid company holidays and a flexible Diversity Celebration Day; Paid volunteer time of 40 hours per calendar year