[Remote] Specialty Benefits Analyst - Stop Loss (Remote)

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. CareFirst BlueCross BlueShield is a health insurance provider, and they are seeking a Specialty Benefits Analyst to support sales activities by creating Stop Loss insurance proposals. The role involves analyzing market information, securing quotes from vendors, and ensuring comprehensive coverage for clients' needs.ResponsibilitiesWorks with external stop-loss vendors to secure quotes for new TPA and CareFirst businessAnalyzes census data, shock reports and claims history for current TPA and CareFirst groups to evaluate current Stop Loss coverage and develop proposal for the group renewalAnalyzes quotes from insurance carriers, and ensures that quoted groups receive appropriate and competitive coverage based on group needs and industry trendsConsults with insurance carriers to understand differences between requested and provided quotes, clarifies group needs and ensures carriers provide competitive quotes with appropriate coverage levelsAnalyzes quote term differences, makes recommendations and creates Stop Loss proposals in collaboration with the appropriate TPA and CareFirst sales teamsAccurately enters all stop loss quote and proposal information into Salesforce and ensures correct stop loss illustration is sent to brokers and/or groupsCreates and maintains the accuracy of Stop Loss content for documents and collateral provided to internal and external customersEnsures the accuracy of current information, and updates with new marketing information as insurance trends changeDevelops and maintains internal documents and reports as needed including Salesforce reporting and Standard Operating Procedures (SOP's)Ensures the accuracy of schedules of insurance, policies, and contracts with attention to detail and thorough understanding of contingenciesBuilds and maintains favorable relationships with CareFirst sales and TPA Account Management staff and proactively reaches out to account management team for upcoming group renewal informationTracks and manages receipt of signed rates prior to effective date of coverage and ensures the information is provided to the Finance teamsReviews stop loss cases with management/Sr. Analyst as appropriate and ensures that proposed proposal recommendations meet client needsSkillsBachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience3 years experience in the health insurance/healthcare industry, with knowledge of benefit products and self-funded rating arrangementsMust have the ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulationsAbility to run reports, business correspondence, and procedure manualsAbility to successfully manage multiple projects, tasks and prioritiesAbility to be thorough while maintaining efficiency and accuracyDemonstrated knowledge and understanding of stop lossAbility to analyze essential facts, make timely and sound decisions, make recommendations and resolve performance and job-related issuesDemonstrated desire to share knowledge and work as a teamMust be eligible to work in the U.S. without SponsorshipPrevious experience in a business analyst capacity for a health care organizationPrevious experience working with stop lossPrevious experience in the self-funded marketBenefitsCareFirst offers a comprehensive benefits packageVarious incentive programs/plans401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements)Company OverviewCareFirst. It’s not just our name. It’s our promise. It was founded in 1934, and is headquartered in Baltimore, Maryland, USA, with a workforce of 5001-10000 employees. Its website is https://individual.carefirst.com.

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