Reinsurance Analyst
W
Western Growers
📍 United States, United States, United States
Job Description
JOB DESCRIPTION
SUMMARYThis position reports to the Manager Claims Operations in a production environment and is responsible for supporting the various departments within the company to provide claims services to reinsurance carriers to reimburse medical claims to the Company’s Trust, Third-Party Administrator (TPA), and Managing General Underwriter (MGU). The Sr. Reinsurance Analyst is responsible for reviewing claims, interpreting and comparing contracts, dispersing reimbursement, and ensuring that all claims contain the required documentation to support the Stop Loss claim determination. They will be analyzing data and critical quality metrics for the department and be the subject matter expert for the team in reviewing supporting documentation, client and reinsurance reporting. This role assists in the documentation of policies, procedures, and controls and monitors compliance with internal controls.
QUALIFICATIONS
• Bachelor’s degree preferred an...