Ensuring the new and renewal contracts match what has been approved by underwriting and the TPA
Customizing Contract according to TPA Work Arounds and what was sold
Setting up the claims system, CMS to make sure all the information is correct
Administer revisions to contracts when notified by underwriting
Check the claim system CMS (verifying all the information is correct)

Bachelor’s degree or equivalent work experience
2-3 years of experience in the financial services industry
2 years of experience working in Stop Loss claims and/or Stop Loss underwriting, preferred
Ability to comprehend and interpret client plan documents as well as Stop Loss policies, preferred
Broad knowledge of Stop Loss Insurance products and processes, preferred
Ability to think creatively to resolve the more complex or non-routine issues
Strong written and verbal communication skills and experience
Ability to effectively coach, develop and motivate team member to achieve Department and SLF goals
Strong negotiation, drawing conclusions and problem solving skills and experience
Ability to develop and maintain effective, professional business relationships across all levels of the organization and external TPA administrators and customers
Accountable for contributing to a workplace environment that fosters mutual respect, cooperation, information sharing and commitment to delivering the expected service and financial results
Strong PC Proficiency
Ability to successfully meet deadlines and achieve goals
Knowledge of company computer systems and products a strong plus

Operations Analyst

Key skills