This listing was posted on The Resumator.
Stop Loss Coordinator
Description:
Marpai Administrators is a technology company transforming the Third-Party Administration sector serving employers with self-funded health plans. Marpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes. ABOUT THE POSITION: The Stop loss Coordinator works with the Stop Loss/Excess of Loss community and IT to investigate issues and resolve problems. The Stop Loss Coordinator works directly with Stop Loss Carriers and MGUs to understand their needs and then collaborates with IT to deliver required reporting. The Stop Loss Coordinator works directly with the Stop Loss Carriers and MGUs to submit all funding/reimbursement requests. WHAT YOU WILL BE DOING: Month-end Stop Loss reporting Strong ability to read stop-loss contracts Analyze reports to determine data integrity issues, and provide solutions Release monthly reporting within the company Develop relationships with Stop Loss Carriers and MGUs that foster trust and collaboration. Quickly understands existing business issues and data challenges Runs reports to analyze data and identify anomalies Suggests areas for improvement in internal processes Acts as liaison between Stop Loss Carriers and MGUs and the Account management team. Responsible for ongoing submissions for specific reimbursement, advance funding, and level funding requests. WHAT YOU NEED: Possess strong organizational skills and am adept at paying close attention to details when addressing problems. 2+ years of experience with Reinsurance Strong time management skills and the ability to multitask. Strong written and verbal communication abilities. Advanced skills with Microsoft Office products including MS Word, MS Excel, or equivalent. Pleasant demeanor when working with others. Energetic and motivated. Able to work independently with minimal supervision. Experience with Stop Loss claims adjudication Experience with WLT and/or Javelina claims platforms preferred. WORK REQUIREMENTS: Location – Tampa area is preferred. Fast paced, dynamic work environment requiring the ability to be adaptive, innovative, and flexible. Travel expectations - minimal. WHY WORK AT MARPAI? We have great benefits: Generous PTO Medical and Prescription Health and Wellness Programs EAP FSA / HSA / Dependent Care Dental Vision Life and Disability STD/LTD Voluntary Benefits: Critical Illness, Accident, Hospital 401k with Employer Match LegalShield Identity Theft Protection Marpai is an equal opportunity workplace. We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status. Powered by JazzHR
Company:
Marpai Health
Posted:
May 25 on The Resumator
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More About this Listing: Stop Loss Coordinator
Stop Loss Coordinator is a Jobs Stop Loss Coordinator Job at Marpai Health located in United States. Find other listings like Stop Loss Coordinator by searching Oodle for Jobs Stop Loss Coordinator Jobs.
Stop Loss Coordinator is a Jobs Stop Loss Coordinator Job at Marpai Health located in United States. Find other listings like Stop Loss Coordinator by searching Oodle for Jobs Stop Loss Coordinator Jobs.