Stop Loss Reporting Analyst

We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills.

As a Stop Loss Reporting Analyst, the employee will support the Stop Loss Team in managing the monthly reporting for Specific and Aggregate Claims for both internal and external customers. An ideal candidate may have prior experience as a claims processor, with exposure to stop loss terminology and concepts.

Responsibilities Include:

• Review Stop Loss contracts or policies to confirm Specific Deductibles, Lasered Claimants, Aggregate Factors, and Attachment Points
• Ensure timely setup of new and renewing stop loss groups
• Monitor members nearing or exceeding Specific Deductibles
• Generate and update Monthly Trigger Reports and Aggregate Reports for internal and external use
• Create and deliver monthly reports to carriers, including Aggregate Accommodations and Year-End Aggregate Filings
• Gather supporting documentation from internal departments and external entities
• Regularly communicate with departments, vendors, clients, and carriers
• Prepare reports and provide insights and recommendations to leadership
• Schedule and automate recurring reporting tasks to meet internal and carrier-specific goals
• Identify and communicate potential issues or errors affecting stakeholders
• Assist with Stop Loss filings and perform additional duties as needed
• Navigate systems such as Ringmaster, Javelina, and HRP
  
  

Qualifications:

Required Skills and Abilities:

• 1–3 years of experience in stop loss, excess loss, reinsurance, or a related industry.
• Strong analytical, problem-solving, and decision-making skills.
• Proficiency in Excel and comfort with data analysis.
• Ability to work cross-functionally and communicate effectively across technical and non-technical teams.
• Fast learner with adaptability to a deadline-driven environment.
• Excellent written and verbal communication skills.
  
  

Work Location:

• This position is remote
  
  

Centivo Values:

• Resilient – This is wicked hard There is no easy button for healthcare affordability Luckily, the mission makes it worth it and sustains us when things are tough Being resilient ensures we don’t give up
• Uncommon - The status quo stinks so we had to go out and build something better We know the healthcare system It isn't working for members, employers, and providers So we're building it from scratch, from the ground up Our focus is on making things better for them while also improving clinical results - which is bold and uncommon
• Positive – We care about each other It takes energy to do hard stuff, build something better and to be resilient and unconventional while doing it Because of that, we make sure we give kudos freely and feedback with care When our tank gets low, a team member is there to be a source of new energy We celebrate together We are supportive, generous, humble, and positive
  
  

Who we are:

Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com.

Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.

Compensation Range: $45K - $52K