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Reinsurance Coordinator
2 months ago
- Work closely with our reinsurance carriers externally, as well as the Claim's Department internally, to ensure all claims eligible for stop loss reimbursement are received, reported and processed timely.
- Provides updates to internal teams, vendors and clients as needed.
- Complete and file appropriate documentation to reinsurance carriers for specific and aggregate claims. This includes but is not limited to 50% notifications, claim reimbursements, additional information as requested by the carrier, etc.
- File stop loss reimbursement claims for assigned clients according to the requirements of each stop loss contract.
- Monitor reimbursements from stop loss carrier.
- Work with general underwriters, carriers and clients to resolve any issues regarding stop loss reimbursement.
- Updates current spreadsheet of filed and outstanding reinsurance claims as well as denied claims.
- Creates, maintains, and distributes weekly and monthly reporting to the CFO, Claims Director and Client Relations Consultants (per assigned client).
- High School Education required; some college preferred.
- 1 year experience working with Reinsurance Carriers.
- 1 year experience handling stop loss claims.
- 3 years' experience in the Healthcare claims industry.
- 1 year experience working in a TPA environment.
- Must be able to perform data entry operations quickly and accurately.
- Strong computer skills, including Word, Excel, Outlook, and Claims Systems.
- Basic understanding of accounting procedures.
- ICD-10 and CPT code experience.
- Must be highly organized and detail oriented.
- Excellent written and verbal communication skills.