Reinsurance Specialist jobs in the United States

Department Summary:

A department that acts as a go between regarding internal entities and those related external entities within the health insurance environment encompassing numerous functions.                                                                                                                                 

Position Summary:

The developing and conducting of those responsibilities that allow the Reinsurance Process, the Subrogation Process, the Funding Process, and related activities to take place as they interact with external and internal customers. This person will also lead when needed on projects, ensuring seamless and timely execution of all deliverables, and keeps the strategic goals front and center throughout the process.                                                                                                                              

Qualifications:

• High School Diploma, Associate's Degree preferred
• Desire to contribute to a variety of roles within the department
• Must work well with others on assigned projects (collaborator)
• Must be meticulous
• Must be dependable (excellent attendance required)
• Must be able to multi-task and prioritize work without direct supervision
• Must be initiative-taking, self-motivated and maintain a positive attitude
• Experience with Microsoft Office preferred with a focus on
  • Access
  • Excel
    • High End Knowledge
• 3 – 5 years of experience preferred
• Ability to make independent decisions, always staying objective
• Thorough understanding of business requirements and problems -solving skills
• Practical and high-end communication skills  
• Previous experience in Healthcare or Health Insurance preferred; experience in end-to-end product launches or business implementations a plus.

Skills:

• 3 years’ experience in project management, or demonstrated performance leading large-scale, complex, high-visibility projects or implementations.
• Entrepreneurial and independent, but also a collaborator and valued team player.
• Experience managing expectations and managing cross-functional teams and resources that do not have direct reporting relationships.
• Knowledge of managing business projects and concepts through project management principles.
• Ability to manage and prioritize multiple projects and tasks with competing timelines; and works well under pressure.
• Outstanding listening, interpersonal, written, and oral communication skills with all levels of the organization.
• Process oriented; focused on standardization, streamlining, and implementation of best practices.
• Ability to embrace change and positively influence change in a dynamic working environment.
• Demonstrated use of sound and proven project management practices and tools, including MS Office, MS Project, and other business management tools.
• Reinsurance and Related Reporting
• Driver Table Experience and Maintenance

Responsibilities & Expectations:

• Lead business implementations and unique business initiatives across the Enterprise.
• Function as a key contact with clients and stakeholders to ensure their needs are met; ensure timeline and deliverables stay on target.
• Lead and attend meetings (in person and/or via teleconference) with internal and external customers in a professional and polished manner.
• Utilize data and professional experience to recommend and influence business and technology decisions positively
• Must be easily accessible to all fellow employees for questions and must be open to continual interruptions throughout the day, promote the department in a positive manner.
• Work with others outside of the department on various projects.
• Cover department functions as needed.
• Special projects as determined
• Must be fair and consistent with fellow employees
• Be a resource to department
• Coordinate assigned projects that are within the department and/or may extend over multiple departments for an extended period.
• Process Improvement: Continuously review, recommend, and implement improvement steps, as needed, or directed.
• Seeks supervisory guidance/approval as appropriate.
• Portrays professional image, follows dress code, communicates with internal and external customers in a professional manner, including appropriate verbal and written grammar.
• Quality assessment using peer review process
• Internal support for all departments within the organization
• Troubleshooting on reported issues involving a wide variety of programs in the claims administration system
• Meet or exceed a set quality standard for accuracy 
• Promotes and demonstrates professional standards to enhance the development of the department.
• Practices ethical conduct.

Working Conditions:

• Work eight hours a day. Monday thru Friday
  • Overtime as needed
• Hybrid/WFH schedule available
• Cross training within the department is required.

The above statements reflect the general duties considered necessary to describe the principle functions of the job as identified, and are not a detailed description of all the work requirements that may be inherent to this position.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, disability, or protected veteran status.  AultCare is an EEO/AA Employer M/F/Disability/Vet.

AultCare/AHF will provide reasonable accommodations to employees or applicants with disabilities, as defined by the Americans with Disabilities Act, who are otherwise qualified to safely perform the essential functions of the job, with or without accommodation, unless such accommodation would constitute an undue hardship on AultCare/AHF or poses a direct threat to the health and safety of the individual or others that cannot be sufficiently mitigated by reasonable accommodation. Any applicant or employee who requires an accommodation to perform the essential functions of his or her job or to enjoy equal benefits and privileges of employment should notify the AultCare Human Resource Department and request accommodation.