Jobs and Careers
United Statesfull_timeVerifiedPosted 9 Jul 2024

About the role


Summary
 

Within assigned division, manages various projects and provides management/functional staff support in order to meet sales and retention goals. Manages administrative/support staff, Service Representatives/Agents.


Description
 

Location: South Carolina (Remote to SC, only)

What You'll Do:

  • Manages 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.

  • Analyzes stop loss program effectiveness and appropriateness of technology use and implements stop loss marketing strategies. 

  • Coordinates with claims operations, membership, accounting/finance and our customers to obtain the required supporting documentation for stop loss claim filings. 

  • Monitors system reports, logs and stop loss database entries to ensure prompt identification and accurate submission of stop loss claims.

  • Maintains and provides stop loss reports to management informing them of the status of all stop loss specific and aggregate claims, as well as proposal activity, to management.

  • Recruits and develops stop loss personnel, policies, procedures and correspondence for the provision of excellent service to our internal and external customers.


Required Education:

  • Bachelor's

Degree Equivalency:

  • 4 years job related work experience or Associate's and 2 years job related work experience (Equivalency not applicable for the Celerian Group. Bachelor's degree required)

Required Work Experience:

  • 5 years proven experience in sales and/or account management. 2 years lead and/or supervisory experience or equivalent military experience in grade E4 or above (may be concurrent).

Required Skills and Abilities:

  • Excellent verbal and written communication skills.

  • Ability to work independently, prioritize effectively, and make sound decisions based on company tenets and customer priorities.

  • Strong customer service, organizational, presentation skills with proven ability to manage projects/work teams.

  • Proficiency in spelling, punctuation, and grammar skills.

  • Analytical or critical thinking skills.

  • Ability to persuade, negotiate, or influence others.

  • Ability to handle confidential or sensitive information with discretion.

  • Proven ability to direct, motivate, and assess performance of others.


Required Software and Other Tools:

  • Microsoft Office.


Preferred Education:

  • Bachelor's degree- Business, Management, Marketing, or other related field.


Preferred Work Experience:

  • 3 years-previous healthcare insurance sales experience.


Work Environment:

  • Typical office environment. May require travel between office buildings, out of town travel.



 

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

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Company

BlueCross BlueShield of South Carolina

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