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Analyst, Stop Loss Center of Excellence - Remote

Analyst, Stop Loss Center of Excellence - Remote

OneDigitalSan Jose, CA, US
2 days ago
Job type
  • Full-time
  • Remote
Job description

OneDigital Stop Loss Center Of Excellence Analyst

Employee Benefits is the core of our business and at our heart we are a people-focused organization. Every day, we help over 100,000 employers give their employees peace of mind by providing health, pharmacy, long and short-term disability, vision, dental and other insurance solutions. What makes us unique is that we can surround our clients with more services and more technology-based tools and a team of advisors that simply cares more than anyone else.

If you want a career giving people the reassurance that they can have access to the health care they need for themselves and their loved ones, join OneDigital.

Our Newest Opportunity :

The OneDigital Stop Loss Center of Excellence (SLCOE) will offer OneDigital offices a streamlined policy marketing and implementation process along with a dedicated claims and service team which will alleviate the complexities associated with third-party stop loss vendors and ensure OneDigital clients are receiving the most competitive rates in the market. In addition, the SLCOE will provide claims support, allowing for expedited claims reimbursement. The SLCOE will identify and manage a panel of select top-rated stop loss carriers that offer annually renewable contracts with best-in-class contract provisions.

The Analyst role is a detail-oriented professional who owns the stop loss marketing process as well as aspects of financial analysis work related to our clients' stop loss and self-funded ASO policies. They will project manage the renewal process, obtain competitive quotes, and provide proactive support to the Director of the Stop Loss Center of Excellence in the renewal process consistently, timely and accurately. They will monitor reimbursement requests to stop loss carriers to include meeting all aspects of external and internal reporting along with providing data extracts and financial analysis.

Essential Duties and Responsibilities (Include But Are Not Limited To) :

  • Manage, in coordination with the Director of the Stop Loss Center of Excellence, the stop loss policies for each client within assigned region
  • Own all aspects of the marketing and analysis of the group stop loss policies

Collect, review, and prepare data needed to market for quotes

  • Manage and track responses from the carriers, ensuring consistency with requested proposals
  • Review stops loss proposals and renewals for accuracy
  • Analyze and compare vendor products, services, and contracts
  • Assemble proposal components (executive summary, quote request results, spreadsheets, supporting documentation)
  • Assist with the implementation process with teams, TPA's and stop loss carrier
  • Develop and maintain strong working relationships with stop loss carrier partners.
  • Attain and maintain industry knowledge of self-funding, stop loss, plan designs, legislation, and emerging benefit trends.
  • Maintain client database (D365) with information inclusive of, but not limited to renewal dates, rates, compensation, carrier, deductible levels, contract type, progress of stop-loss requests
  • Develop and maintain accurate plan performance reports for large group clients and deliver timely, insightful reports to client executives and internal team members
  • Perform financial analyses, including monthly claims reporting, large claim analysis and tracking to annual budget
  • Additional responsibilities as required
  • Qualifications, Skills, and Requirements :

  • Strong quantitative and analytical skills
  • Strong writing skills with ability to correspond and present in a clear, concise, and persuasive manner to C-Suite audience
  • Ability to analyze data and recognize analytical patterns.
  • Ability to prioritize multiple projects at once and thrives in a fast paced, energetic environment
  • Highly organized and driven to accomplish the goals set before him / her
  • Supports team members during peak schedule by offering to help where needed
  • Models and exemplifies the OneDigital Way - Service-oriented mentality seeks to behave in a personal, consistent, and reliable manner.
  • Work experience that demonstrates strong technical and / or client service skills (analyst type of internship preferred)
  • A self-starter who works independently, but also cooperatively in a close team environment
  • Education, Training and Experience :

  • Bachelor's degree in business, Finance, Math, Accounting, or another related field, preferred.
  • 3+ years' experience working for a group insurance carrier, broker, or consultant, strongly preferred.
  • Knowledge of group insurance underwriting including HMOs, PPOs, and indemnity plans as well as medical, dental, CDHP, pharmacy
  • Familiarity with multiple insurance companies or TPA's strongly preferred.
  • Underwriting experience a plus
  • A working knowledge of Self-Funded plans is required.
  • Intermediate to Advanced Microsoft Excel experience, required.
  • Current life and health producer license or ability to acquire within 90 days of hire (company paid), required
  • The typical base pay range for this role nationwide is $70,000 to $80,000 per year. Your base pay is dependent upon your skills, education, qualifications, professional experience, and location. In addition to base pay, some roles are eligible for variable compensation, commission, and / or annual bonus based on your individual performance and / or the company's performance. We also offer eligible employees health, wellbeing, retirement, and other financial benefits, paid time off, overtime pay for non-exempt employees, and robust learning and development programs. You will receive reimbursement of job-related expenses per the company policy and may receive employee perks and discounts.

    OneDigital is an equal opportunity employer. Not only as a matter of standard, but to honor and celebrate our differences. We believe that the power of ONE starts with you. We are committed to cultivating and preserving a culture that celebrates diversity, insists on equity and inclusion, and connects us. Ensuring our people feel seen, valued, respected, and supported is fundamental to our core values and business goals.

    OneDigital provides equal employment opportunities to all employees and applicants for employment regardless of their : veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy (including childbirth, lactation and related medical conditions), national origin or ancestry, citizenship or immigration status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law (collectively, "protected characteristics"). A copy of the Federal EEO poster is linked here.

    Pursuant to local Fair Chance Ordinances, we will consider qualified applications with arrest or conviction records for employment. For applicable candidates, the following ordinances are linked here to inform you of your rights as an applicant :

    City and County of San Francsico

    City of Los Angeles

    County of Los Angeles

    Employment decisions shall comply with all other applicable federal, state and city / county laws prohibiting discrimination in employment. OneDigital complies with all criminal history inquiry [or 'ban the box'] laws in California, Connecticut, Colorado, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Mexico, Oregon, Rhode Island, Vermont and Washington.

    In short, we believe in hiring the most qualified applicant for the position, regardless of background.

    If you have questions about our hiring policies and practices, we would be happy to discuss upon receiving your application. We hope to welcome you to OneDigital and look forward to hearing from you.

    OneDigital understands the immense responsibility and opportunities provided by Artificial Intelligence. We utilize advanced Artificial Intelligence [AI] technologies to enhance our recruitment process. This includes using AI to filter candidates based on their qualifications and to rediscover potential candidates from our existing applicant pool. Our AI systems help us efficiently identify the best fit for our open positions, ensuring a streamlined and effective hiring experience. However, AI does not replace the humans in our process. If you have concerns about our use of AI, you may opt out where laws allow.

    Thank you for your interest in joining the OneDigital team!

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    Center Of Excellence • San Jose, CA, US

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