Senior Stop Loss Representative

Independence Blue Cross; Philadelphia (Philadelphia County); Sur place; USD 65 000 - 90 000; Plein temps

Résumé du poste

Independence Blue Cross, a leading health insurer in the Philadelphia region, is seeking an operations-focused professional to maintain and streamline contact information, distribute monthly stop loss reports, and process external pbm files. The role emphasizes timely follow-up, strong partner relationships, and the ability to work across internal teams.

The ideal candidate will have a Bachelor's degree in business operations or equivalent experience, 2+ years in operations, familiarity with

Qualifications

• 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.

Responsabilités

• 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.
• 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

Connaissances

Self-starter

Independent work

Multi-tasking

Communication skills

Organizational skills

Attention to detail

Research ability

Decision making

Team collaboration

Formation

Bachelor's degree in business operations or equivalent

Description du poste

• 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.
• 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.

Inclusion and Belonging

At IBX, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

About Our Company

Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.

At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com . We’re revolutionizing health care, and our focus is on you!

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.