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- Collect, review and prepare data to issue to market for quotes into the stop loss program(s).
- Assist with the implementation process with teams, TPA's and stop loss carriers.
- Assist in the review of all agreements and/or documents related to client's stop loss coverage including policy and ASO agreement.
- Assist in ongoing case and experience data to help recommend implement appropriate case management and cost recovery programs.
- Meet with teams in conjunction with Team or Company Leadership to review monthly a) large claims, b) abnormal utilization results, c) managed care and ongoing case management opportunities.
- Assist with client/carrier issue resolution including but not limited to gray claims resolution.
- Review all agreements and/or documents for accuracy.
- Coordinate workflow with Senior Account Executive and/or Account Executive.
- Participate in monthly LDBC meeting.
- Other responsibilities as required.
- As a minimum an Associate Degree in a business related field or equivalent experience in the insurance industry.
- At least 2 years experience in the insurance industry, specifically in employee welfare benefits.
- Strong customer service skills, with the ability to develop strong client relationships with multiple clients.
- A firm working knowledge of welfare benefits with a basic understanding of risk and insurance concepts.
- Ability to interact with vendors effectively.
- Excellent computer skills including word processing and spreadsheet expertise.
- Good working knowledge of differing financial arrangements and products available to clients (i.e. fully insured, minimum premium, ASO).
- Must have excellent critical thinking and claims resolution expertise.
- Current required licenses or ability to immediately obtain.
- Excellent organizational and communication skills.
- Must be available for travel and willing to accept responsibility for client/vendor entertainment.
- Legal right to work in the United States.
Associate Account Executive, Stop Loss - Plano, United States - Lockton, Inc.
