Location: South Carolina (Remote to SC, only)

What You'll Do:

• Manages daily stop loss related activities including stop loss claim filings, RFP & RFI responses, weekly and monthly activity/production reports and oversight of stop loss personnel.

• Analyzes stop loss program effectiveness and appropriateness of technology use and implements stop loss marketing strategies.

• Coordinates with claims operations, membership, accounting/finance and our customers to obtain the required supporting documentation for stop loss claim filings.

• Monitors system reports, logs and stop loss database entries to ensure prompt identification and accurate submission of stop loss claims.

• Maintains and provides stop loss reports to management informing them of the status of all stop loss specific and aggregate claims, as well as proposal activity, to management.

• Recruits and develops stop loss personnel, policies, procedures and correspondence for the provision of excellent service to our internal and external customers.

Required Education:

• Bachelor's

Degree Equivalency:

• 4 years job related work experience or Associate's and 2 years job related work experience (Equivalency not applicable for the Celerian Group. Bachelor's degree required)

Required Work Experience:

• 5 years proven experience in sales and/or account management. 2 years lead and/or supervisory experience or equivalent military experience in grade E4 or above (may be concurrent).

Required Skills and Abilities:

• Excellent verbal and written communication skills.

• Ability to work independently, prioritize effectively, and make sound decisions based on company tenets and customer priorities.

• Strong customer service, organizational, presentation skills with proven ability to manage projects/work teams.

• Proficiency in spelling, punctuation, and grammar skills.

• Analytical or critical thinking skills.

• Ability to persuade, negotiate, or influence others.

• Ability to handle confidential or sensitive information with discretion.

• Proven ability to direct, motivate, and assess performance of others.

Required Software and Other Tools:

• Microsoft Office.

Preferred Education:

• Bachelor's degree- Business, Management, Marketing, or other related field.

Preferred Work Experience:

• 3 years-previous healthcare insurance sales experience.

Work Environment:

• Typical office environment. May require travel between office buildings, out of town travel.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

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Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.