Support Specialist managing stop-loss benefit plans while delivering exceptional client service and support. Collaborating with Account Executives and ensuring accurate claims and reporting management.
Responsibilities
Serve as a trusted point of contact for clients, both brokers and groups, providing exceptional customer service and timely submission of claims and reporting.
Support Account Executives in managing client relationships and ongoing service needs.
Manage the stop-loss work center queue.
Work with the Wholesure Specialty Placement accounting team to ensure timely payment of premium for all clients.
Ensure broker commissions are paid timely.
Liaise with insurance carriers, vendors, and TPAs to ensure issue resolution.
Maintain accurate client records, documentation, and claim and reporting tracking within agency management.
Analyze data and provide insights.
Identify opportunities to improve service processes and enhance the overall client experience.
Build strong, long-term client, carrier, and TPA relationships through responsiveness, professionalism, and attention to detail.
Requirements
2+ years of experience in stop loss insurance, claims administration, MGU, carrier, or TPA environment
Working knowledge of specific and aggregate stop loss coverage and policy provisions
Experience coordinating with TPAs, carriers, and broker partners
Exceptional customer service and communication skills, both written and verbal.
High attention to detail with strong organizational and time-management abilities.
Ability to manage multiple priorities in a fast-paced, deadline-driven environment.
Proficiency with benefits administration systems, carrier portals, and CRM tools.
Benefits
Comprehensive medical insurance, dental insurance, and vision insurance
Life and disability insurance
Fertility benefits
Wellness resources
Paid sick time
Generous paid time off and holidays
Employee Assistance Program (EAP)
Complimentary Calm app subscription
Immediate vesting in a 401(k) plan
Health Savings Account (HSA) and Flexible Spending Account (FSA) options
Commuter benefits
Employee discount programs
Paid maternity leave and paid paternity leave (including for adoptive parents)
Head of Risk managing and enhancing enterprise risk frameworks in corporate environments. Collaborating with leadership to ensure comprehensive governance and compliance across the organisation.
Vice President of Risk and Controls Operations supporting risk management across the enterprise at MUFG. Responsible for coordinating technology risk assessments and operationalizing controls.
Advisory role focusing on risk management and transformation projects at PwC. Collaborating with teams to implement governance, management strategies and lead complex programmes.
Senior Data Governance Engineer at Booz Allen leading modernization efforts for mission data governance. Collaborating with stakeholders to implement data strategies supporting national security efforts.
Data Governance Engineer shaping mission data governance by leading modernization efforts for national security clients. Collaborating with stakeholders to implement data management strategies.
Technology Coordinator at Evertec managing change processes and daily IT application operations. Requires fluency in English and strong governance experience in a hybrid role.
Manager overseeing regulatory compliance management as an SME for TD's Business Banking. Leading a team and managing governance and control programs for effective risk management.
Sustainability & Risk Intern assisting with ESG regulatory compliance and sustainability data management. Engaging with cross - functional teams in Amsterdam to promote supply chain resilience.
Head of Risk leading Wallee Group’s Risk function in a fast - growing payment company. Driving risk management aligned with business goals and regulatory compliance.