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Stop Loss Contract Specialist

Gravie

Gravie

Minneapolis, MN, USA
Posted on Tuesday, July 2, 2024
Hi, we’re Gravie. Our mission is to improve the way people purchase and access healthcare through innovative, consumer-centric health benefit solutions that people can actually use. Our industry-changing products and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self - we like you that way.
A Little More About Us:
· We know healthcare. Our company was founded and is still led by industry veterans who have started and grown several market-leading companies in the space.
· We are quickly becoming one of the fastest growing health benefits companies in the country. We have received numerous awards and accolades, including Inc. Magazine Best in Business Gold Medal award in 2021, and JMP Securities Top 50 Private Companies in Insurtech in 2022.
· We have raised money from top tier investors who share the same long-term vision as we do of building an industry defining company that will endure over the long run. We are well capitalized.
· Our customers like us. Our revenue churn is in the low single digits, in an industry where greater than 20% churn is common.
· Our culture is unique. We tend to be non-hierarchical, merit-driven, opinionated but kind people who thrive working in a high-performance, fast-paced environment. People at Gravie care deeply about making a positive impact in the lives of the people we serve. We may not be the right place for everybody, but if you get energized by doing work every day that focuses on putting consumers at the front of the line, we could be a great place for you. It takes unique people and diverse perspectives to deliver our results. We encourage you to be your authentic self – we like you that way.
A Little More About The role:
We’re looking for a Stop Loss Contract Specialist who will be responsible for putting stop loss certificates in place. This is a critical step in our stop loss function and this position requires the ability to interpret contracts, have great attention to detail, and the ability work collaboratively.
You will:
· Create the Stop Loss Certificates for distribution.
· Timely enter Stop Loss contracts into Javelina for accurately systematically identifying high claimants based on stop loss provisions to include, but not limited to, the following criteria:
o Effective date of the stop loss contract.
o Incurred and Paid parameters
o Incurred and Paid dates.
o Spec Deducible threshold.
o Verify the correct contract Group ID is assigned to the correct Client in Client Maintenance.
o Mark file as completed on the New/renewing employer set up tracker.
· Provide problem solving for any potential issues that arise.
· Heavily involved in any documentation improvement and participation in automation build outs that will strengthen the responsibilities of this division and increase efficiencies.
· Work closely with the Stop Loss Director, providing updates on inventory for both areas of responsibilities.
· Point of contact for AM/Implementation for amendments and keeping contracts updated within Javelina that reflect amendments timely.
· Other duties as assigned
You bring:
· Attention to detail is a must.
· Ability to understand contract parameters and terms within Stop Loss language and terminology.
· Reporting knowledge of Google sheets and/or Excel.
· Ability to innovate on live processes and procedures.
· Willingness to learn, be actively involved and hold yourself accountable.
· Excellent collaboration skills.
Extra credit:
· Experience with Javelina
Competitive pay is standard. Our unique benefits program is the gravy, i.e., the special sauce that sets our compensation package apart. In addition to standard benefits, Gravie’s package includes alternative medicine coverage, flexible PTO, 16 weeks paid parental leave, paid holidays, cell phone reimbursement, education reimbursement, and 1 week of paid paw-ternity leave just to name a few.