Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of 6087 Technology Pkwy Columbus, GA 31820 PulsePoint location.
The Excess Loss Specialist will be responsible for working independently reviewing claims and interpreting contracts. Works with complex concepts of excess loss, manages a large volume of files and interacts with multiple reinsurance carriers as well as various internal departments, clients, and brokers.
How you will make an impact:
Assists marketing with obtaining information for underwriting renewals and coordinates large case management services with utilization review vendors and reinsurance carriers.
Tracks payments from reinsurance carriers and coordinates payment of reinsurance claims that have been advance funded.
Prepares management reports and identifies areas where improvement is needed to prevent future erroneous payments.
Serves as the liaison with reinsurance auditors when clients hit an aggregate claim.
Minimum Requirements
Requires a HS diploma or equivalent and a minimum of 3 years claims and/or customer service experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences
Experience in excess loss claims and strong written and oral communication skills strongly preferred.
Proficient in Microsoft products and computer skills preferred.
Attention to detail, strong organization skills, and ability to work independently and with team preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
