Stop Loss Analyst I / II / III / IV

Stop Loss Analyst

The Stop Loss Analyst develops new business rate proposals utilizing available claim information provided from prospect accounts through Sales. The Stop Loss Analyst also develops renewal rates for existing group accounts utilizing claim, premium and enrollment information extracted from Excellus Health Plan, Inc.'s systems. This position prepares stop loss quotes and group reports to assist Sales in the acquisition and retention of accounts; interacts with company sales representatives, account personnel, and consultants regarding rate, trend explanations, and rate negotiations. The Stop Loss Analyst interacts with other internal departments such as Rating, Treasury, Accounting, Actuarial, Network Management, Provider Contracting as necessary.

Essential Primary Responsibilities / Accountabilities :

Level I :

• Performs extensive analysis necessary for developing competitive bid rates on new business opportunities, as well as renewing existing accounts.
• Evaluates stop loss plan variables and suggest appropriate levels of coverage.
• Partners with Sales in working directly with customer accounts, their brokers and consultants, in support of rate negotiations on new or renewal business.
• Partners with Sales in meeting persistency goals related to existing stop loss business.
• Prepares specific and aggregate stop loss reimbursements for all groups that have purchased Excellus Health Plan. Inc. stop loss.
• Prepares necessary reports for specific and aggregate claim submissions for all groups that have purchased stop loss through an external vendor.
• Works with other internal areas to ensure proper billing and collection of stop loss premiums.
• Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values and adhering to the Corporate Code of Conduct and leading to the Lifetime Way values and beliefs.
• Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
• Regular and reliable attendance is expected and required.
• Performs other functions as assigned by management.

Level II : In addition to Level I responsibilities :

Level III : In addition to Level II responsibilities :

Level IV : In addition to Level III responsibilities :

Minimum Qualifications :

NOTE : We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and / or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities

Level I :

Level II : in addition to Level I qualifications :

Level III : in addition to Level II qualifications :

Level IV : in addition to Level III qualifications :

Physical Requirements :

In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.

Equal Opportunity Employer

Compensation Range(s) :

Level I : Grade E1 : Minimum $60,410 - Maximum $84,000

Level II : Grade E2 : Minimum $60,410 - Maximum $96,081

Level III : Grade E3 : Minimum $60,410 - Maximum $106,929

Level IV : Grade E5 : Minimum $71,880 - Maximum $129,384

The salary range indicated in this posting represents the minimum and maximum of the