Stop Loss Nurse Consultant
GravieFull Time
Senior (5 to 8 years), Expert & Leadership (9+ years)
Candidates must possess a High School Diploma or GED and have a minimum of 3-5 years of claims or insurance experience. Proficiency in MS Excel, including macros, pivots, and formulas, is required, along with proven analytical and problem-solving skills, attention to detail, demonstrated leadership abilities, and excellent interpersonal, negotiation, written, and oral communication skills. A Bachelor's degree is preferred.
The Stop Loss Support Specialist will review complex claims and situations, making decisions that may deviate from normal guidelines and providing direction on excess risk claims. They will respond to claim and reporting inquiries, manage claim suspense accounts for accurate processing and financial reporting, and oversee mid-policy period and year-end audits. Responsibilities also include providing direction, developing, training, and mentoring less experienced claims staff through audits and feedback, assisting in process improvement development and implementation, participating in department projects, and performing stop loss claims systems testing.
Provides financial services and retirement solutions
Voya Financial offers a range of financial services, including retirement plans, investment management, and insurance products, to help individuals and businesses achieve financial wellness. Their services cater to individuals seeking retirement planning, employers looking to enhance employee benefits, and institutions needing tailored investment management. Voya stands out from competitors through its commitment to inclusiveness and corporate responsibility, which helps attract clients and talent. The company's goal is to build long-term relationships with clients, ensuring they achieve financial confidence and a fulfilling life.