Stop Loss Underwriting Specialist
Work from home within Oregon, Washington, Idaho or Utah
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day, Cambia's dedicated team of Stop Loss Underwriting Specialists are living our mission to make health care easier and lives better. The Stop Loss Underwriting Specialist supports the Stop Loss Underwriting team through data entry, running, and reviewing claims reports. This role is responsible for completing contracts and fee schedules and handling all administration of them. Additionally, they complete travel and expenses for stop loss director and team when applicable, and provide other administrative support as directed - all in service of creating an economically sustainable health care system.
Do you thrive as a part of a collaborative, caring team? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
Stop Loss UW Specialist would have a High School diploma or GED and 4 years office, data entry or equivalent combination of education and experience, preferably in a health care environment. Knowledge of stop loss claims processing preferred.
Skills and Attributes:
* Demonstrated ability to exercise sound judgment, initiative and discretion in a mature, sensitive and confidential manner.
* Proven attention to detail and accuracy in data entry and other administrative tasks.
* Computer skills including experience using Microsoft Office (Word, Excel, Outlook) or comparable software and ability to learn and use complex systems.
* Ability to organize, prioritize and manage multiple tasks with little supervision.
* Demonstrated ability to establish effective working relationships with coworkers and customers and to both work well independently and on a team.
* Ability to communicate effectively both orally and in writing.
* Knowledge of medical terminology, insurance billing and claims coding.
* Demonstrated strong problem solving skills and ability to investigate and resolve complex issues.
* Demonstrated ability to consistently meet productivity and quality standards with minimal support.
* Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
What You Will Do at Cambia:
* Perform data input for all new stop loss cases and/or claims.
* Enter all required fields to generate explanation of benefit forms and/or Stop Loss contracts and apply the appropriate fee schedule.
* Run reports, review and analyze data and identify any areas of concern.
* Run data downloads and reporting.
* Review data and prepare management reports.
* Understand Stop-Loss policy language and terms.
* May assist with travel and completing expense reports.
The expected hiring range for a Stop Loss Underwriting Specialist is $19.40 - $26.80/hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 6.25%. The current full salary range for this role is $19.40 - $34.90/hour.
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
* Work alongside diverse teams building cutting-edge solutions to transform he