Stop Loss Underwriting Specialist

Full Time
Portland, OR 97201
Posted
Job description
Stop Loss Underwriting Specialist
Remote from Oregon, Washington, Idaho or Utah
Primary Job Purpose
The Stop Loss Underwriting Specialist supports the Stop Loss Underwriting team through data entry of RFI and experience information, running and reviewing claims reports. Completes contracts and fee schedules, and handles all administration of them. Completes travel and expenses for stop loss director and team when applicable. Provides other administrative support as directed.
General Functions and Outcomes
  • Perform data input for all new stop loss cases.
  • Enter all required fields to generate Stop Loss contracts and apply the appropriate fee schedule.
  • Run reports, review and analyze data and identify any areas of concern.
  • Run data downloads for renewals.
  • Input census for new business into rating system.
  • Submit appropriate documents to Stop Loss Underwriters for peer review.
  • Review data and prepare management reports.
  • Complete expense reports.
  • Assist with travel.
Minimum Requirements
  • Demonstrated ability to exercise sound judgment, initiative and discretion in a mature, sensitive and confidential manner.
  • Proven attention to detail and accuracy in data entry and other administrative tasks.
  • Computer skills including experience using Microsoft Office (Word, Excel, Outlook) or comparable software and ability to learn and use complex systems.
  • Ability to organize, prioritize and manage multiple tasks with little supervision.
  • Demonstrated ability to establish effective working relationships with coworkers and customers and to both work well independently and on a team.
  • Ability to communicate effectively both orally and in writing.
  • Knowledge of medical terminology.
  • Demonstrated strong problem solving skills and ability to investigate and resolve complex issues.
  • Demonstrated ability to consistently meet productivity and quality standards with minimal support.
Normally to be proficient in the competencies listed above
Stop Loss UW Specialist would have a High School diploma or GED and 4 years office, data entry or equivalent combination of education and experience, preferably in a health care environment. Knowledge of stop loss claims processing preferred.
Work Environment
  • No unusual working conditions.
  • Work primarily performed in office or remote environment.
The base pay annual salary range for this position is $17.00-25.00/hour.
The department has a Stop Loss Underwriting Incentive Plan .
At Cambia, we take a variety of factors into account when creating a job offer, including your skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. While we offer competitive salaries, in general, we rarely hire candidates at or near the top of the salary range.
Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:
  • medical, dental, and vision coverage for employees and their eligible family members
  • annual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)
  • paid time off and company holidays
  • up to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)
  • up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)
  • one-time furniture and equipment allowance for employees working from home
  • up to $225 in Amazon gift cards for participating in various well-being activities for a complete list see our
    External Total Rewards
    page.
We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email
CambiaCareers@cambiahealth.com
. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our
Privacy Policy
. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our
Careers
site.

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