Reinsurance Specialist

REINSURANCE SPECIALIST

Unified Group Services is a full-service third-party administrator (TPA) for self-insured group health plans. We are dedicated to providing excellent customer service and the flexibility our customers desire in administering employee benefit plans.

JOB DESCRIPTION :

The Reinsurance Specialist will work in a team environment to file reinsurance claims with the carrier on over-specific claims. When necessary, they will gather all documentation for proof of all claims. This person will run RX reports for filing, complete over-specific claims cover sheets, and document claim filings on Excel Spreadsheet at the time of filing. They will log all reimbursements in Excel and send letters to the clients regarding refunds. This person will also research unpaid and rejected over-specific claims and reply to the reinsurance companies. They will scan all submissions into WLT and keep files on these over-specific individuals. Balancing with the Marketing Department on all closing groups and updating the Client Data Sheet must be completed monthly. As with any job, there may be other tasks assigned as necessary.

QUALIFICATIONS :

• High school diploma or GED. Some college is helpful but not required.
• Health insurance experience is helpful but not required.
• Microsoft Word, Excel, and Outlook skills
• Polite, courteous, and professional phone skills
• Excellent attendance is a must.
• Excellent customer service and a desire to exceed customer expectations.
• Strong organizational skills
• Strong attention to details
• Self-motivated
• Willingness to learn.
• Positive attitude
• Positive team player willing to help others.

PAY BASIS : Hourly

Hours are Monday through Friday, 8 : 00 a.m. to 5 : 00 p.m.

BENEFITS :

Unified Group offers an excellent benefits package including :

OTHER REASONS TO WORK HERE :

This is an in-the-office position. We are located just off I-69, exit 226.

Unified Group Services is an Equal Opportunity Employer.