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Operations

Cedar Rapids, Iowa

Full-Time

High Dollar Claims Coordinator

Job Summary

Be part of a growing and prospering company as a High Dollar Claims Coordinator for our Cedar Rapids, IA office. Auxiant is a third party administrator of self-funded employee benefit plans with offices in Cedar Rapids, IA, Madison and Milwaukee, WI. Auxiant is a fast-growing, progressive company offering an excellent wage and benefit package.

Job Summary: Operate at the center of the organization with daily responsibilities to monitor, audit, and file stop loss insurance claims on behalf of customer contracts.

Essential Functions:

  • Review weekly reports to identify stop loss cases
  • Submit potential loss notices to stop loss carriers for members over 50% of the specific deductible
  • Prepare and file stop loss claims to the stop loss carriers
  • Assemble and submit additional information to carriers as requested
  • Audit files at contract year-end
  • Request work status information from group contact
  • Monitor account balances for groups with aggregate only coverage
  • Review high dollar claims to see if they need to be split
  • Record data as it pertains to stop loss submissions
  • Process funding received from stop loss carrier
  • Run, review, and post month-end reports

Nonessential Functions:

  • Other duties as assigned or appropriate

Education/Qualifications:

  • Excellent written/verbal communication skills to include the ability to interact professionally with a diverse group of vendors, managers, customers and employees
  • Excellent time management and organizational skills
  • Strong aptitude for analytical thinking and comprehension of complex concepts
  • Proficient PC skills including e-mail, MS Word, MS Excel
  • Database / MS Access experience a plus
  • Basic accounting skills
  • Some College and 1-2 years related experience; or equivalent combination of education and experience.

*Full benefits including: Medical,Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD, 401K, 3 weeks vacation, 9 paid holidays, casual dress code and more

 

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