Current Openings:

 

MEDICAL STOP LOSS BUSINESS OPERATIONS SPECIALIST

 

REPORTS TO:  General Manager & VP Underwriting

 

JOB SUMMARY:

 

The Medical Stop Loss Business Operations Specialist will be responsible for managing and overseeing the David Young system, generating and analyzing accounting reports for the reinsurer and carrier, and conducting bank reconciliations. This role includes the management of claims fund/premium accounts, ensuring adherence to policies and procedures, and participating in audit and due diligence processes with the reinsurer/carrier.

 

DUTIES/RESPONSIBILITES: 

 

  • Manage the David Young system to ensure accurate and efficient operations.
  • Generate timely and accurate accounting reports for the reinsurer and carrier.
  • Conduct bank reconciliations to ensure financial accuracy and integrity.
  • Oversee the claims fund/premium account, monitoring and reporting on fund status and premium flows.
  • Develop, implement, and maintain policies and procedures related to medical stop loss operations.
  • Participate in audit and due diligence activities with the reinsurer and carrier to ensure compliance and identify areas for improvement.
  • Collaborate with cross-functional teams to support business objectives and operational needs.
  • Stay informed of industry trends, regulatory changes, and best practices in medical stop loss business operations.

 

REQUIRED SKILLS/ABILITIES:

 

  • Strong understanding of accounting principles and financial reporting.
  • Proficiency in financial software and systems, particularly the David Young system.
  • Excellent analytical, organizational, and problem-solving skills.
  • Strong attention to detail and ability to manage multiple tasks simultaneously.
  • Effective communication skills, both written and verbal.
  • Ability to work independently and as part of a team.

 

EDUCATION AND EXPERIENCE:

 

  • Bachelor’s degree in Finance, Accounting, Business Administrations, or related field.
  • Proven experience in medical stop loss or related insurance operations.
  • Experience with audit and due diligence processes.
  • Knowledge of regulatory requirements related to medical stop loss insurance.