[Remote] Stop Loss Coordinator

Note: The job is a remote job and is open to candidates in USA. BlueCross BlueShield of South Carolina is a longstanding insurance company with a commitment to outstanding service. The Stop Loss Coordinator role involves providing reinsurance support, processing claims, and ensuring effective customer relations through accurate and timely responses to inquiries.


Responsibilities

  • 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

Skills

  • High School Diploma or equivalent
  • 1 year customer service or administrative experience
  • 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
  • Microsoft Office
  • Associate Degree-Business Administration or related field
  • 2 years-customer service, operations support, or underwriting support

Benefits

  • Subsidized health plans, dental and vision coverage
  • 401k 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 Discounts to movies, theaters, zoos, theme parks and more

Company Overview

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    • Company H1B Sponsorship

  • Facebook has a track record of offering H1B sponsorships, with 942 in 2022, 5811 in 2021, 4476 in 2020. Please note that this does not guarantee sponsorship for this specific role.

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