Job Description:

• Develop long-term plan for the Medical Business Unit program claims organization
• Establish and monitor benchmarks and metrics for team performance
• Provide innovative solutions to achieve strategic goals
• Cultivate relationships with reinsurers and clients
• Manage audit processes and quality standards
• Oversee alignment of vertical partners with divisional objectives
• Prepare detailed reports and portfolio analysis
• Collaborate with Analytics and IT teams for efficiency improvements
• Maintain compliance with claims practices and confidentiality agreements
• Foster team growth and morale

Requirements:

• Bachelor’s degree or equivalent required
• 10+ years’ experience in related Medical Insurance claims roles (Medical Stop Loss or Medical Excess)
• 5+ years of medical program claims experience
• 3+ years in a leadership role
• Advanced knowledge in Microsoft Office tools – Outlook, Excel, Word and PowerPoint
• Ability to work in a fast-paced environment and adaptable
• Ability to travel

Benefits:

• Competitive compensation package
• Generous 401K employer match
• Employee Stock Purchase plan with employer matching
• Generous Paid Time Off
• Excellent benefits that go beyond health, dental & vision.
• Programs focused on physical, mental, and financial wellbeing
• Tuition reimbursement
• Industry-related certifications
• Professional training opportunities
• Volunteer opportunities and corporate giving program