Job Description
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES
- Understands and assists with Monthly Claims Exhibits; as needed
- Complete new client set-up (New Form, notify teams, implement reporting, notify stop loss carrier, build folder)
- Responsible for reporting back action items from weekly team calls
- Engages in regularly scheduled trainings and collaboration sessions
- Assist with inputting the premium and reimbursements for previous year into Budget Projection workbook
- Tracks and manages all open items (outstanding premium issues, missing reporting, outstanding reimbursement updates to teams, etc.)
- Conducts an audit of reporting received post placement
- Assists with client questions, issues and/or problems by investigating first and then seeking confirmation from Manager
- Responsible for ensuring client data is validated and up-to-date (contacts, etc.)
- Completes Client Information Questionnaire based on Strategy calls and/or sends to Core team to complete
- Collects RFP Data Request information and reviews for accuracy
- Sends RFP to Manager for review prior to sending to market
- Updates Marketing Tracker with progress
- Collects, reviews and saves RFP responses with the proper naming convention in the client's folder
- Enters carrier responses into Renewal Package, as well as Claims and Premium Experience
- Requests Clinical Reviews for firm deliverables
- Assists with stop loss policy implementation
- Completes Phase 1 of Audits
- Responsible for completion of 1/1 claims policy reconciliations
- Participates in various workgroups that push forward practice initiatives
Skills
Auditingunmatched
Budget Forecastingunmatched
Clinical Validationunmatched
Customer Support/Serviceunmatched
Customer/Client Researchunmatched
Data Collectionunmatched
Data Qualityunmatched
Financial Projectionsunmatched
Marketingunmatched
Organizational Skillsunmatched
Policy Implementationunmatched
Reconciliationunmatched
Reimbursementunmatched
Request for Information (RFI)unmatched
Request for Proposals (RFP)unmatched
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