Stop Loss Leadership Professional

3 weeks ago


Raleigh, North Carolina, United States BlueCross BlueShield of South Carolina Full time

At BlueCross BlueShield of South Carolina, we seek an experienced Senior Manager of Stop Loss Operations to lead our daily stop loss related activities, including stop loss claim filings, RFP & RFI responses, weekly and monthly activity/production reports, and oversight of stop loss personnel. The ideal candidate will have a proven track record of analyzing stop loss program effectiveness and implementing marketing strategies to drive business growth.

Key Responsibilities:

  • Develop and execute stop loss marketing strategies to drive business growth and improve program effectiveness.
  • Manage daily stop loss related activities, including stop loss claim filings, RFP & RFI responses, weekly and monthly activity/production reports, and oversight of stop loss personnel.
  • Collaborate with claims operations, membership, accounting/finance, and customers to obtain required supporting documentation for stop loss claim filings.
  • Monitor system reports, logs, and stop loss database entries to ensure prompt identification and accurate submission of stop loss claims.
  • Provide regular stop loss reports to management, highlighting status of all stop loss specific and aggregate claims, as well as proposal activity.
  • Recruit and develop stop loss personnel, policies, procedures, and correspondence to deliver excellent service to internal and external customers.

Requirements:

  • Bachelor's degree in a related field, such as business, management, or marketing.
  • At least 5 years of experience in sales and/or account management, with 2 years of lead and/or supervisory experience or equivalent military experience.
  • Excellent verbal and written communication skills, with ability to work independently and prioritize effectively.
  • Strong customer service, organizational, presentation skills, with proven ability to manage projects and work teams.
  • Proficiency in Microsoft Office and ability to handle confidential or sensitive information with discretion.

Preferred Qualifications:

  • Bachelor's degree in business, management, marketing, or a related field.
  • 3 years of previous healthcare insurance sales experience.

Work Environment:

  • Typical office environment with occasional travel required.

We offer a competitive salary range of $120,000 - $160,000 per year, based on experience, and a comprehensive benefits package. Join our team and take advantage of this exciting opportunity to lead our stop loss operations and drive business growth.

We are an equal opportunity employer and participate in E-Verify. If you are a motivated and experienced professional looking for a challenging role, please submit your application.



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