Blue Cross and Blue Shield Association logo

Senior Stop Loss Representative

Blue Cross and Blue Shield Association
  • Philadelphia, PA
    30+ days ago

    Job Description

    • Manage Inventory
    • Maintain claimant files.
    • Update group/broker/carrier contact information as needed.
    • Distribute monthly stop loss reporting.
    • Process external pbm files monthly
    • Open service tickets for issues and follow through to resolution.
    • Follow up on all open items timely.
    • Reconcile accounts, communicate discrepancies immediately.
    • Manage working relationships with internal and external business partners.
    • Attend meetings to resolve issues as needed.
    • Perform other duties ad necessary or appropriate for the position
    • Bachelor's degree in business operations or equivalent work experience
    • More than two years working in an operations environment.
    • Knowledge of claims processing preferred.
    • Previous experience in Reinsurance or Stop Loss/Healthcare experience preferred.
    • Experience working in a production driven environment.
    • Self-starter, highly motivated problem solver with the ability to work independently.
    • Ability to multi-task and handle deadline driven assignments.
    • Ability to perform appropriate research, make responsible decisions and demonstrate customer-oriented professionalism.
    • Strong organization skills and attention to detail capabilities are required.
    • Strong communication and competency skills are necessary.
    • Ability to follow documented procedures and instructions.
    • Cross-functional team collaboration abilities are required.

    IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

    Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

    Numbers & Facts

    LocationPhiladelphia, PA
    IndustryInsurance
    Company Size2,000 to 2,499 employees
    Websitehttps://www.bcbs.com/about-us/careers

    About Company

    At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

    Skills

    • Brokerageunmatched
    • Business Operationsunmatched
    • Claims Processingunmatched
    • Communication Skillsunmatched
    • Cross-Functionalunmatched
    • Customer Relationsunmatched
    • Detail Orientedunmatched
    • File Maintenanceunmatched
    • Follow Throughunmatched
    • Healthcareunmatched
    • Inventory Managementunmatched
    • Multitaskingunmatched
    • Organizational Skillsunmatched
    • Problem Solving Skillsunmatched
    • Production Systemsunmatched
    • Reconciliationunmatched
    • Reinsuranceunmatched
    • Relationship Managementunmatched
    • Stop Loss Insuranceunmatched
    • Team Playerunmatched
    • Time Managementunmatched

    Be found by employers

    5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

    Level up your application

    Professional resume templates

    Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

    Free resume templates

    Free resume builder

    Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

    Free resume builder