Reinsurance Administrator

This is a fully remote position, open to applicants in Alaska, +3 more states.

📋 Description

• Accountable for the precise and prompt submission of excess risk medical claims.

• Collaborate effectively with excess risk companies to address inquiries and resolve issues.

• Manage initial appeals for reinsurance.

• Oversee all reporting provided by the excess risk companies.

• Identify and prepare stop loss claims submissions for client reimbursement.

• Communicate with Client Management, Claims, Finance, and other relevant departments.

• Notify stop loss carriers and clients when claimants reach 50% of the specific deductible amount.

• Review and process all returned checks related to stop loss reimbursements.

• Investigate carrier reimbursement denials and prepare/submit rebuttals or notifications of explanations to clients.

• Prepare and distribute notifications regarding potential specific claimants requiring all claims to be processed by month-end to Medical Claims Analysts and departmental Managers.

⛳️ Requirements

• High School Diploma or equivalent GED.

• 1 to 2 years of experience in medical claims.

• Hands-on experience with stop loss (excess risk) claims processing and submissions.

• Proficient in MS Word, Excel, and Outlook.

• Previous understanding of employee benefits, third-party benefit administration, or reinsurance.

• Self-motivated individual who performs well with minimal supervision.

• Adaptable; willing to embrace change and seek improved operational efficiencies.

• Exceptional interpersonal and communication skills across all organizational levels.

• Ability to effectively present information and address inquiries.

• Strong time management skills.

• Proven problem-solving abilities and skills in claims investigation.

🏝️ Benefits

• Health and wellness benefits.

• 401(k) savings plan.

• Pension plan.

• Paid time off.

• Paid parental leave.

• Disability insurance.

• Supplemental life insurance.

• Employee assistance program.

• Paid holidays.

• Tuition reimbursement.