![Hueman PE Talent Solutions](https://media.trabajo.org/img/noimg.jpg)
Director of Stop Loss
2 months ago
Point C Health is hiring a Director of Stop Loss for a full-time remote position.
Must be able to work EST and CST hours.
The Director of Stop Loss will provide strategic planning and consulting to clients on Stop Loss Coverage, acting as the primary expert within the Stop Loss team. This role involves managing vendor relationships, negotiating plan terms, understanding industry trends, and leading a team to ensure client satisfaction and retention. This role will also support new business generation, client renewals, and the implementation of stop-loss programs.
Point C is a private equity backed platform of third-party administrators (TPAs) focused on providing services to businesses that self-fund their medical benefits. Point C actively acquires independent and 'like-minded' TPAs within the continental US, encouraging each partner to retain their unique local identities while creating value at the platform level through centralizing back-office functions, improving technology, and optimizing vendor relationships. The Point C Corporate team supports each partner while leading strategic investments in resources and systems, facilitating sharing of best practices, and implementing value-creation initiatives across the entities.
Job Requirements:
- Provide expert advice on Stop Loss Coverage strategies to clients.
- Collaborate with internal SMEs to optimize client satisfaction and retention.
- Act as the primary contact for vendor partners, negotiating plan terms and overall design changes.
- Maintain and develop knowledge of group medical stop loss products, underwriting principles, and Point C’s product portfolio.
- Collect, review, and prepare data for market quotes on stop loss programs.
- Research industry trends, carrier offerings, and emerging trends to inform strategic decisions.
- Lead a team in executing client renewals and providing strategic guidance.
- Support new business generation by collaborating with Sales Directors, acting as a technical SME, and leading the RFP process.
- Provide on-the-spot strategic guidance and financial performance information during client meetings.
- Ensure completion of client reports and administrative tasks such as Form 5500 filings, policy checking, and delivery of SPDs.
- Act as a trusted advisor by developing strong client relationships through effective communication and project execution.
- Oversee the development and production of Requests for Proposal (RFPs), analyze responses, and prepare client reports with recommendations.
- Use discretion and independent judgment in analyzing industry trends and providing feedback.
- Supervise, mentor, and train team members to meet or exceed industry standards.
- Identify and address client service issues, developing and implementing processes to enhance service quality.
- Maintain awareness of large and complex claims, assist with negotiations, and resolve claim settlements.
- Develop underwriting analyses for prospective entrants into the Point C stop loss program.
- Review agreements and documents related to client stop loss coverage, including policies and ASO agreements.
- Assist with monthly reporting and issue resolution, including gray claims.
- Bachelor’s Degree in Business Administration or a related field, or equivalent experience.
- Minimum of 7 years in the insurance industry, specifically in employee welfare benefits.
- Strong knowledge of stop loss/reinsurance and TPA vendors.
- Excellent customer service and client relationship development skills.
- Proficiency in Microsoft Office Suite (Word, Outlook, Excel, PowerPoint).
- Strong understanding of vendor and competitor strengths and weaknesses.
- Superior interpersonal communication and critical thinking skills.
- In-depth knowledge of industry trends and governmental regulations.
- Ability to protect confidential information and work effectively in a fast-paced environment.
Work Environment:
Fully remote, flexibility with schedule around general business hours. Must have reliable internet and familiarity with digital platforms.
CST and EST locations are preferred, with occasional travel.
Equal Employment Opportunity
At Point C Health, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business—and our society—stronger. Point C Health is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.
At Point C Health, we believe there is immense power when bright minds work together around a common purpose. At the heart of their mission is the individual—a person who deserves the same kind of support and care they would provide their own family. If you would like a rewarding career with a growing company, this opportunity is for you.
If you are interested in learning more about a career with Point C Health as a Director of Stop Loss, apply today
-
Supervisor, Stop Loss
2 months ago
Chicago, Illinois, United States Allied Benefit Systems, LLC Full timeSUPERVISOR, STOP LOSSPOSITION SUMMARYThe Supervisor, Stop Loss is responsible for assisting the Manager, Stop Loss with overseeing the department. Duties include auditing and tracking stop loss claim filings, reimbursements, and cash advance claims to ensure the department is running in an efficient and thorough manner. The Supervisor, Stop Loss also works...
-
Stop Loss Sales Account Executive Sr
1 month ago
Chicago, Illinois, United States Elevance Health Full timeStop Loss Sales Account Executive SrLocation: This position will work in a hybrid model (remote and travel). The ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations listed on the requisition.Compensation: Base Salary + Sales IncentiveThe Stop Loss Sales Account Executive Sr is responsible for acquiring and renewing...
-
Stop Loss Sales Account Executive Sr
1 month ago
CHICAGO, United States Elevance Health Full timeStop Loss Sales Account Executive Sr Location: This position will work in a hybrid model (remote and travel). The ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations listed on the requisition. Compensation: Base Salary + Sales Incentive The Stop Loss Sales Account Executive Sr is responsible for...
-
Senior Revenue Analyst
3 months ago
Chicago, United States Allied Benefit Systems, LLC Full timeSENIOR REVENUE ANALYST POSITION SUMMARY The Senior Revenue Analyst is responsible for deep analysis of current and historical claims data for prospective/current client engagements. KEY RESPONSIBILITIES Perform in-depth analysis of claim data to provide strategic insights for prospective/current client health plans. Work closely with...
-
Director, US Health
3 weeks ago
Chicago, United States Lactalis USA Full timeDescriptionTITLE: Director, US Health & SafetyREPORTING TO: VP Manufacturing, America's Zone LOCATION (One of the following corporate offices): Chicago, IL, Buffalo, NY, Bedford, NHLactalis US is currently seeking candidates to join our US Manufacturing team. This role will be located at one of our corporate sites in Bedford, NH, Buffalo, NY, or Chicago, IL....
-
Director of Risk Management
7 days ago
Chicago, United States Educational and Institutional Insurance Administrators (EIIA) Full timeCompany OverviewEducational & Institutional Insurance Administrators, Inc. (EIIA) is a member-driven consortium of private, faith-inspired colleges, universities and seminaries providing innovative insurance and risk management services. EIIA was formed over fifty (50) years ago during the 1960s when a number of historically black colleges and universities...
-
Director of Risk Management
5 days ago
Chicago, United States Educational and Institutional Insurance Administrators (EIIA) Full timeCompany OverviewEducational & Institutional Insurance Administrators, Inc. (EIIA) is a member-driven consortium of private, faith-inspired colleges, universities and seminaries providing innovative insurance and risk management services. EIIA was formed over fifty (50) years ago during the 1960s when a number of historically black colleges and universities...
-
Director of Procurement
1 month ago
Chicago, United States United Airlines Full timeDescription At United, we are looking for an exceptional individual to join our team as the Director of Procurement for Airframe Maintenance. This is a unique opportunity to be part of a world-class airline that is on a mission to become the best in the industry. This role will provide strategic and operational oversight for a comprehensive, best-in-class...
-
Director of Procurement
1 month ago
Chicago, United States United Airlines Full timeDescription At United, we are looking for an exceptional individual to join our team as the Director of Procurement for Engine Components. This is a unique opportunity to be part of a world-class airline that is on a mission to become the best in the industry. This role will provide strategic and operational oversight for a comprehensive, best-in-class...
-
Chicago, United States TransUnion Full timeAbility to review, interpret and negotiate contract terms with a strong familiarity with the commercial insurance industry. Strategically partner with finance and business to build captive insurance programs. Understanding of loss control management Risk, Insurance, Director, Management, Enterprise, Senior, Business Services
-
Director - Airframe Parts & Engine
1 month ago
Chicago, United States United Airlines Full timeDescription At United, we are looking for an exceptional individual to join our team as the Director of Procurement for Airframe and Engine Parts. This is a unique opportunity to be part of a world-class airline that is on a mission to become the best in the industry. This role will provide strategic and operational oversight for a comprehensive,...
-
Casualty Claims Director
2 months ago
Chicago, United States The Ladders Full timeIf you are an experienced CLAIMS PROFFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFFESSIONAL!! We are seeking an experienced Casualty Director! The Casualty Claims Director will be responsible for the direct supervision of the Casualty Claims unit. Scope of the position...
-
Executive Director, Risk Management
4 weeks ago
Chicago, Illinois, United States The University of Chicago Full timeDepartmentF&A Office of the CFOAbout the DepartmentThe Office of Vice President and Chief Financial Officer helps lead the University's integrated strategic financial planning and oversees the University's financial operations, human resource function and information technology operations, ensuring through analysis, discipline, and organization to best...
-
Director Insurance
2 weeks ago
Chicago, Illinois, United States ADM Full timeJob Description Director, Insurance & Risk Management - Chicago, IL This is an exempt level position Position Summary: Reporting to ADM's Deputy General Counsel and working closely with ADM's Treasury team, the Director of Insurance and Risk Management will serve as owner of ADM's corporate insurance program, including managing all insurance policies,...
-
Market Director
1 week ago
Chicago, Illinois, United States Kemper Corporation Full timeKemper Auto is looking for a Market Director to join their team in either Chicago, IL or Alpharetta, GA. As a member of the National Distribution Product team, you will focus on driving profit and growth by implementing business and pricing strategies for Kemper's non-standard auto line. Responsibilities include:Work on complex problems/projects where...
-
Director, Retail Risk Management
4 weeks ago
Chicago, United States WeedWeek Full timeCresco Labs is one of the largest public, vertically integrated, multistate operators in the cannabis industry. Our portfolio of in-house cultivated and manufactured brands features some of the highest quality, most awarded and most popular cannabis products in America. With dozens of locations nationwide, our owned and operated Sunnyside dispensaries...
-
Chief Health Underwriter
3 weeks ago
Chicago, United States Selby Jennings Full timeResponsibilities: Lead and manage the underwriting team, fostering a culture of collaboration and excellence.Develop and implement underwriting strategies aligned with company goals.Oversee underwriting operations for stop loss and captive insurance.Conduct thorough risk assessments and develop mitigation strategies.Ensure compliance with regulatory...
-
Casualty Claims Director
3 months ago
Chicago, United States First Chicago Insurance Company (FCIC) Full timeJob DescriptionJob DescriptionIf you are an experienced CLAIMS PROFFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFFESSIONAL!!We are seeking an experienced Casualty Director!The Casualty Claims Director will be responsible for the direct supervision of the Casualty Claims...
-
Casualty Claims Director
3 months ago
Chicago, United States Warrior Insurance Network Full timeJob DescriptionJob DescriptionIf you are an experienced CLAIMS PROFFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFFESSIONAL!!We are seeking an experienced Casualty Director!The Casualty Claims Director will be responsible for the direct supervision of the Casualty Claims...
-
Director of Advancement
2 months ago
Chicago, United States Archdiocese of Chicago Full timePosition Type: Professional/Development Date Posted: 1/9/2023 Location: IND - 43595 - Frances Xavier Warde School ABOUT THE FRANCES XAVIER WARDE SCHOOL The Frances Xavier Warde School (FXW) is unlike any other Pre-School through Eighth grade educational institution in the City of Chicago. Located downtown on two campuses, FXW is an independent Catholic...