Stop Loss Coordinator

About the role

Provides reinsurance support for new and renewal business, underwriting, claims audit/record keeping and/or other functions. May perform calculations and process general accounting requests for billing or payments, and/or check the status of claims and process policy changes. Provides customer service to clients and partners. Runs reports as needed. Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: Provides reinsurance support for new and renewal business, underwriting, claims audit/record keeping and/or other functions. May perform calculations and process general accounting requests for billing or payments, and/or check the status of claims and process policy changes. Provides customer service to clients and partners. Runs reports as needed. Logistics : Stop Loss | International Specialty Underwriters, Inc. one of BlueCross BlueShield of S outh C arolina ' s subsidiary companies. Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment located at 10199 Southside Blvd, Suite 205, Jacksonville, FL 32256. Sponsorship : This position is not eligible for sponsorship now or in the future. What You 'll Do: Processes mail, email and faxes to maintain departmental productivity, quality and timeliness standards. May assist in preparing various financial data associated with refunds, recoupments, adjustments, and reissues, and ensure appropriate documentation for each refund request and associated payment. Maintains logs. Assists in processing/providing routine premium billing statements and/or various reports. Maintains filing systems. Coordinates communication of information between reinsurance companies and various internal and external areas. Reviews documentation for completeness, and may rate new business, order required reports within timeliness standards, determine benefits, issue new policies, and/or report surplus lines taxes. Requests additional information when needed within timeline standards. Accurately documents process changes. Checks status of claims or notices and may service existing accounts by processing endorsements/amendments, identifying problems, and responding to inquiries. May review disbursement requests for large case management claims and other specific diagnosis codes, and forward to claims for detailed review. Ensures effective customer relations by responding accurately, timely, and courteously to telephone or written customer inquiries. Accurately documents inquiries. To Qualify F or This Position, You'll Need T he Following: Required Education: High School Diploma or equivalent. Required Experience: 1 year customer service or administrative experience. Required Skills and Abilities: Excellent verbal and written communication skills. Good human relations skills. Strong research ability. Ability to function in a high-pressure environment with minimum supervision. Ability to handle confidential or sensitive information with discretion. Strong organizational skills. Proven customer service skills. Good judgment. Proficient spelling, punctuation, grammar, and basic math skills. Required Software and Tools: Microsoft Office. We Prefer That You Have T he Following : Preferred Education: Associate Degree-Business Administration or related field Preferred Work Experience: 2 years-customer service, operations support, underwriting experience, or claims experience. Skills and Abilities: Intermediate Excel skills Our C omprehensive B enefits P ackage I ncludes the F ollowing: We offer our employees great benefits and rewards. You will be eligible to participate in our benefits program the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401 k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National d iscounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What T o Expect Nex

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