Aggregate Claims Specialist

Amwins; United States; Hybrid; USD 60,000 - 90,000; Full time

Benefits offered by this job

Hybrid work options

Generous PTO and holidays

Annual bonus program

Day-one benefits package

Job summary

Amwins is seeking an Aggregate Specialist to drive end-to-end aggregate claim processing for Self-Funded clients, collaborating with Third-Party Administrators. The role is in-office with the option to work remotely up to 2 days per week after training, offering a hybrid schedule and a path to growth.

This position emphasizes learning the Amwins Self-Funded business model, mastering related products, and delivering accurate aggregate reporting and stakeholder communication.

Qualifications

• Education or equivalent experience strongly preferred.
• Proficiency with Microsoft Office (Word, Excel, Outlook, PowerPoint).
• Ability to maintain confidentiality.
• Strong time management and multi-tasking skills.
• Excellent written and verbal communication.
• Ability to work with internal and external stakeholders.

Responsibilities

• Process aggregate claim activities across accounts.
• Serve as a subject matter expert on the aggregate claim process.
• Manage administrative tasks for aggregate stop-loss claims.
• Prepare and review monthly aggregate reports.
• Coordinate communications with carriers and third-party admins.
• Adapt to additional duties and projects as assigned.

Skills

Microsoft Office

Adaptability

Time management

Communication skills

Team collaboration

Education

College degree or equivalent experience

Tools

Word

Excel

Outlook

PowerPoint

Job description

Remote

Join Our Team as an Aggregate Specialist at Amwins Self-Funded!

Are you eager to become a key player in our success story? We are looking for an enthusiastic Aggregate Specialist to join our dynamic team. In this role, you will learn the Amwins Self-Funded business model, understand our supported products, and play a pivotal role in providing exceptional aggregate claim management services for our Self-Funded clients by working with Third-Party Administrators. This is an in-office position that offers flexibility to work from home up to 2 days a week after completion of training.

Why Choose Amwins?

• Flexibility: Enjoy a hybrid work environment with flexible scheduling options.
• Comprehensive Benefits: Access a competitive benefits package from day one, including generous Paid Time Off (PTO) and paid holidays.
• Continual Learning: Thrive in a collaborative, education-focused work environment.
• Annual Bonus Program: Earn incentives through our performance-based bonus program, designed to reward you for achieving key goals and contributing to the company's success.

What You’ll Do:

• Claims Processing: Acquire expertise in all internal responsibilities related to the aggregate claim process.
• Subject Matter Expert: Become an Amwins Self-Funded subject matter expert on the aggregate claim process.
• Administrative Tasks: Coordinate and manage administrative tasks related to aggregate stop-loss claims, including report requests, review, research, and resolution on discrepancies, claim filing, and information requests.
• Aggregate Reporting: Complete and review monthly aggregate reports across all assigned accounts.
• Aggregate Accommodation Oversight: For accounts utilizing the monthly aggregate accommodation product, conduct enhanced review, communicate findings, and processing related claims as needed.
• Professional Communication: Communicate professionally, timely, clearly, and accurately with internal and external stakeholders regarding aggregate claims or the claim process.
• Resource Management: Build and maintain carrier resource information required for annual and monthly aggregate claim submissions.
• Adaptability: Undertake other duties and projects assigned.

What You’ll Bring:

• Eagerness to Learn: A passion for learning our business model and understanding the products we work with.
• Education or Equivalent Experience: College degree or equivalent work experience is strongly preferred.
• Technical Proficiency: Proficiency with Microsoft Office products, including Word, Excel, Outlook, and PowerPoint.
• Confidentiality: Ability to maintain strict confidentiality.
• Adaptability: Capability to multi-task and adjust to changing priorities in a fast-paced environment.
• Time Management: Proven ability to effectively manage time, prioritize workload, and meet deadlines.
• Team Collaboration: Strong teamwork skills; ability to work cooperatively and jointly with various staff members.
• Organizational Skills: Strong organizational and multi-tasking skills.
• Communication Skills: Ability to effectively communicate, both written and verbally, with internal and external parties.
• Urgency and Attention to Detail: Sense of urgency and attention to detail are necessities.