Operations
Madison, Wi
Full-Time
Be part of a growing and prospering company as a Stop Loss Coordinator for our Madison, WI 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
Non-Essential Functions:
· Other duties as assigned or appropriate
Education/Qualifications:
· Excellent written/verbal communication skills to include the ability to interact professionally with 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
