Job#: 2046775
Job Description:
Our client is looking to hire a Client Financial Associate to join their team remotely.
- Assist in the development, analysis, interpretation, invoicing, reporting, and presentation of historical and/or forecasted financial claims expense and stop loss coverage information.
- Support preparation of invoicing and financial claims expense forecasts.
- Support preparation of financials for loss coverage for employer groups or stop loss vendors based on actual high dollar claims and/or claimants' performance, previous stop loss credits, estimated claims expense trend, expense reports and other factors.
- Support the review of expenditures of employer groups' subgroups to ensure conformance to Administrative Agreement.
- Support the preparation of reports and analysis for various audiences such as Self-Funded Groups (Employer), Stop Loss Vendors, Sales, Underwriting, etc. Support the monthly variance analysis (at employer group level or consolidated company level).
- Verification and identification of manual transaction fees/ contractual adjustments
- Preparation of any estimates and adjustments that may be needed for new or existing business.
- Prepare Statement of account reconciliations, assist with the monthly run out and final close out activities, prepare schedules, etc.
- Assist with compilation of data for internal/external audit.
- Process a variety of client transactions that may include suspend and/or hold of claims, Run out administrative fees, and/or employer group settlement.
- Determine benefit eligibility for stop loss coverage on claims for specific claimants based on contract terms. Includes a variety of stop loss vendor transactions such as inquiries regarding utilization, provider information, medical reviews, Leave of absence language, COBRA benefits, and plan documentation.
- Assist with quality reviews of operational inquiries to determine the accuracy of information provided and ensure employees are functioning at the expected level of service to enhance customer satisfaction.
Hiring Requirements
- Must have customer facing, analytical and finance background.
- Access and Excel skills are a requirement.
- Healthcare is a plus.
- Bachelors degree or advanced degree (where required)
- 0-2+ years of experience in related field
- In lieu of degree, 3+ years of experience in related field
EEO Employer
Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at [email protected] or 844-463-6178.
Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico.
VEVRAA Federal ContractorWe request Priority Protected Veteran & Disabled Referrals for all of our locations within the state.We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. The EEO is the Law poster is available here.