Reinsurance Business Analyst - Bend - PacificSource

    PacificSource
    PacificSource Bend

    5 days ago

    $85,000 - $145,000 (USD) per year *
    Description

    Reinsurance Business Analyst

    PacificSource helps members access quality affordable care by serving as a subject matter expert in reinsurance administration for PacificSource and its self-funded clients.

    This role is responsible for managing high-dollar reinsurance cases by auditing and adjudicating claims ensuring accurate documentation. The analyst interprets claims and financial data to identify reimbursement opportunities that exceed reinsurance thresholds.

    The essential responsibilities include:

    • Maintaining an expert-level understanding of reinsurance contract terms and provisions; adapting administration processes for new renewing and custom self-funded groups
    • Participating in group meetings to provide guidance on reinsurance requirements and processes
    • Analyzing complex claims reporting data to identify potential reinsurance cases initiating Advanced Funding requests when applicable
    • Auditing adjudicating claims to determine reimbursement eligibility reconciling discrepancies ensuring accurate documentation;
    * This salary range is an estimation made by beBee
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