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Health Plans Analyst - Stop Loss
Sheboygan, WI / Milwaukee, WI / Green Bay, WI
Job Description
HEALTH PLANS ANALYST
STOP LOSS
STOP LOSS
The Health Plans Analyst is a key internal subject matter expert and resource for the Sales and Account Management staff for all functions related to Stop Loss Coverage. The Health Plans Analyst provides high level customer service and sales support to Stop Loss Carriers, Brokers and Clients. This position also provides complete technical support to all internal departments on questions related to Stop Loss coverage.
*Position location - Options will be considered regarding a flexible work location arrangement
SUMMARY OF ESSENTIAL JOB FUNCTIONS
- Prepares and reviews Requests for Proposals for both new and renewal business and obtains any additional information needed for quotation
- Completes quotation requirements with accuracy and timeliness
- Creates stop loss proposals for both new business and renewal business
- Obtains, negotiates and creates stop loss and transplant proposals within deadlines and specifications for new and renewal business
- Uses high level understanding of Stop Loss Underwriting process to aggressively negotiate stop loss pricing.
- Understands and interprets plan document and stop loss contract language
- Provides complete technical support to internal departments on questions related to Stop Loss coverage.
- Creates strategies with Sales & Account Management teams for new business acquisition and account retention
- Coordinates Customer and Broker signature of all contracts
- Maintains and builds new relationships with Stop Loss Carriers and Brokers
- Conducts data analysis of loss history, medical trend, and risk for new and existing business
- Prepares reports and spreadsheets related to Stop Loss topics
POSITION REQUIREMENTS
Education & Experience
- Bachelor’s Degree in Business, Insurance, or related field preferred with 3-5 years experience in health insurance (Sales, Account Management, Claims or Underwriting)
- Associate Degree in Business, Insurance, or related field required with 7 years experience in health insurance (Sales, Account Management, Claims or Underwriting)
- State of Wisconsin Health & Accident Insurance License (current or as a condition of ongoing employment)
- Group Benefits Associate (GBA) Certification is a plus
Specific Technical Skills or Competencies
- Demonstrates strong sales support skills through building and sustaining business relationships with Sales Executive, Stop Loss Carriers and Brokers
- Effective problem-solving skills relating to stop loss new business, renewal business and claims dispute
- Maintains high level knowledge of stop loss insurance markets, contract requirements, products and policies
- Highly professional business demeanor in working with Sales, Stop Loss Carriers and Brokers.
- Strong organizational, time management, project management and multi-tasking skills to meet competing deadlines
- High level Customer Service orientation in providing and meeting the needs of internal and external customers
- Proficient in Microsoft Office Applications (Word, Excel, PowerPoint)
Prairie States Enterprises, Inc. is a third party administrator, a benefits industry leader, and a trusted advisor to self-insured companies and their employees. We provide a complete range of medical benefit management services, all performed in-house, and to exacting standards of excellence.
Prairie States' Vision is to be a Third Party Administrator that stands apart as a team of passionate people driven by a quest for excellence, who strive to improve the health status and benefit plan experience of our members and their families across the nation.
Just as we are committed to improving the lives of our members, we are equally committed to cultivating the careers of forward-thinking professionals. Our company culture is one of ambition, integrity, empowerment, teamwork and a passion for personal and company success. If this sounds like you and you’re looking for career growth that is part of this position and our organization, please follow the application instructions for this site.
Contact Information
Position is located in Sheboygan, WI. The following link shares information about the Sheboygan County area: www.someplacebetter.org
Job Summary
Company
Start Date
Immediate
Employment Term and Type
Regular, Full Time
Hours per Week
40
Salary and Benefits
Base salary with incentive compensation opportunities.
Comprehensive benefits package (medical, dental, vision, life, short/long-term disability, flexible spending account, paid vacation and personal days, 401k with match, wellness and fitness benefits and more).
Required Education
Bachelor's Degree
Required Experience
3 to 5 years
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