Stop Loss
- Carrier Service Supervisor 90 Degree Benefits
- San Antonio
- 2.
8 San Antonio, TX Job Details Full-time From $50,000 a year 16 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Employee assistance program Vision insurance 401(k) matching Life insurance Qualifications Teamwork Commercial insurance knowledge Team development Bachelor's degree Organizational skills Typing Clerical experience Full Job Description Company Overview 90 Degree Benefits
- San Antonio, is dedicated to delivering innovative health benefits solutions tailored to meet the diverse needs of employers. Our mission is to help organizations Make the Right Turn™ by providing strategic benefit offerings that promote peace of mind and organizational success. Stop Loss
- Carrier Service Supervisor 90 Degree Benefits is currently seeking a Stop Loss
- Carrier Services Supervisor to join our team!
This position is responsible for supervising the daily operations of Stop Loss and Carrier Services functions, including the administration of new and renewal clients and the tracking, monitoring, documenting, examination, and submission of stop loss claims. The Supervisor maintains a comprehensive understanding of the plan documents and stop loss provisions within their scope of responsibility and serves as a subject matter expert for stop loss and carrier services operations. This role combines hands-on operational support with team leadership responsibilities to ensure accurate, timely, and efficient service delivery. The Supervisor oversees workflow management, staff development, policy administration, stop loss claims management, reporting analytics, quality assurance, and process improvement initiatives. This position plays a key role in supporting strategic decision-making through data analysis, operational oversight, claims analysis, and cross-functional collaboration. Responsibilities Supervise the daily operations of Carrier Services policy administration for new and renewal clients. Perform advanced policy administration functions and provide escalation support for complex issues. Oversee stop-loss filing processes and carrier presentations. Provide direct leadership and supervision to team members, including assigning workloads, managing PTO requests, conducting performance evaluations, coaching employees, and disciplinary actions. Train, mentor, and support staff development through ongoing education. Monitor departmental workflows, turnaround times, and service standards to ensure timely and accurate processing of policy administration and stop-loss claim filings. Track and analyze Book of Business (BOB) loss ratios and prepare reporting for carrier partners and leadership review. Maintain and update Carrier Services templates, workflows, and internal workshops to enhance operational efficiency and service quality. Maintain strong working relationships with internal departments, brokers, clients, carriers, and external vendors. Ensure the accuracy, completeness, and timeliness of all department documentation and reporting. Generate, and analyze business reports and data analytics to support operational and strategic decision-making. Review data reports regularly to identify trends, discrepancies, and opportunities for improvement, implementing corrective actions as needed. Communicate data analysis findings to Account Executives, department managers. Support organizational goals by collaborating with sales, marketing, and other departments through reporting and business analysis. Monitor stop-loss data ton Identify changes in financial and business trends. Participate in special projects and additional duties as assigned. Experience Proven experience in commercial health insurance with a focus on stop loss or carrier services. Specially TPA Strong knowledge of insurance claims management software, medical claims processing, and insurance regulation compliance Familiarity with health insurance policies, and medical terminology Demonstrated ability in claims negotiation, adjudication, and litigation support related to insurance claims Excellent organizational skills with proficiency in Microsoft Office suite and typing accuracy Clerical experience involving data entry, filing, handling insurance verification, and medical documentation management Join us to lead a dedicated team committed to excellence in Carrier Services
Bring your expertise in insurance policies, regulatory standards, and customer service to make a meaningful impact on our clients' peace of mind. We value energetic professionals eager to grow their careers while helping organizations navigate complex health benefits landscapes.
Pay:
From $50,000.00 per year
Benefits:
401(k) 401(k) matching Dental insurance Employee assistance program Health insurance Life insurance Paid time off Vision insurance
Education:
Bachelor's (Required)
Experience:
Stop loss and claims in the Health insurance industry: 4 years (Required)
Benefit Focus/Cedargate:
3 years (Preferred)
Location:
San Antonio, TX 78230 (Required)
Work Location:
Hybrid remote in San Antonio, TX 78230
