Account Manager - Stop Loss

We are seeking a highly skilled and client-focused Account Manager to join our dynamic team at SA Benefit Services, a Division of Afore Insurance Services, LLC. In this role, you will be responsible for managing a portfolio of key accounts, serving as the primary liaison between our agency, brokers, third-party administrators (TPAs), and carriers. Your expertise in stop loss insurance, self-funded healthcare plans, and underwriting processes will ensure a high level of service delivery, client retention, and operational excellence. Candidates for this position must have reliable internet service and can travel to team meetings in the San Antonio, Texas. We are looking for candidates to work remote in the San Antonio, Texas or surrounding area.

Benefits

Annual Base Salary Based on Experience

Work from Home

Paid Time Off (PTO)

Health Insurance

Disability Insurance

Life Insurance

Dental Insurance

Vision Insurance

Hands on Training

Tuition Reimbursement

Mon-Fri Schedule

Career Growth Opportunities

Retirement Plan

Responsibilities

• Present stop loss presentations to producers and clients as it relates to RFP process, implementation, open enrollment and policy administration.
• Responsible for being the subject matter expert on all accounts assigned. This individual will drive questions and assist the client, broker, TPA and carriers with challenges throughout the life cycle of the policy.
• Build and release RFPs for current block of business assigned and request additional information as needed for the marketing of renewals.
• Receive new RFPs from clients or vendors and request additional information within 24 hours of receipt. A clean RFP must be released to the carriers within 24 hours.
• Responsible for Initial and Best and Final stages of the RFP processes to include, but not limited to :

o Initial RFP Stage Review RFP and reports received, request info as needed.

o Best and Final RFP Stage Analyze final reports

Obtain all required documentation needed to issue the final policy

o Receive stop loss application and policy, review, and audit for accuracy

Monthly Reporting and Claims Filing

o Populate SA Benefit Services monthly reporting package interfacing medical and prescription reporting from vendors on a monthly basis for assigned block of business.

o Request eligibility and work status from the client

o File stop loss claims with the stop loss carrier

o Answer all claim questions that may arise in a timely manner

o Track reimbursement status

o Release monthly reporting packages to the client, broker, TPA on a monthly basis

Requirement