2 jobs found in Newtown Square

The Underwriter of Employer Stop Loss is responsible for evaluating and analyzing risk. This role involves reviewing submissions, assessing medical and financial risk factors, and determining appropriate pricing and terms in alignment with company underwriting guidelines. The Underwriter works closely with sales, brokers, consultants, and underwriting team to ensure profitability and growth within the stop loss product line. This is a hybrid position based out of our office in Newtown Square, PA. Your Impact: Review and analyze employer stop loss data, including claims experience, demographics, and plan design. Assess medical conditions and financial risks to determine appropriate coverage terms and pricing. Apply underwriting guidelines and company policies to maintain a balance between risk acceptance and profitability. Work collaboratively with sales teams, brokers, and consultants to gather necessary information and provide competitive quotes. Ensure underwriting...

We are looking for Claims Assistant to join our team. This role will be responsible for assisting the claims auditor by ensuring filings, documentation, and reports are accurately and timely entered into our databases. This is a hybrid position based out of our office in Newtown Square, PA. Your Impact: Assists claimants, providers, and clients with problems or questions regarding their claims and/or policies Ensuring compliance with state laws, company policies, and procedures in all claim-related activities Monitor incoming emails and enter information received in database within 24 hours Enter 50% notices/Trigger Diagnosis Reports and alert nurse on any potentially large claimant based on the guidelines established (diagnosis and/or dollar amount) Enter LCM (Large Case Management) notices and notify the nurse Process claims, checks and SLAM Reports Successful Candidate Will Have: BA/BS degree preferred or high school diploma with six to twelve months...