At Alliant Insurance Services, we thrive on creating employee benefits solutions built on the idea that health makes growth possible. As top tier professionals dedicated to solving our clients' health and welfare insurance challenges, Alliant team members deliver an unrivaled depth of service, and our unique approach enables us to help clients stay resilient and turn change into opportunity. This position is a chance to join a dynamic, expanding company with prospects for individual and career growth.
As one of the 5 largest insurance brokerage firms in the U.S., Alliant provides property and casualty, workers' compensation, employee benefits, surety, and financial products and services to clients nationwide.
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SUMMARY
Responsible for providing analytical and consultative stop loss and high cost claimant support to service teams and clients. Work closely with Stop Loss/MGA practice leadership. Support renewal conversations with clients and vendors. Provides oversight to team of Clinical Risk Consultants, including management and action plans for notable trends across carriers and clients.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Conducts research, review clinical notes, and prepare claims data loss analysis to provide actionable recommendations for clients and prospects.
Leverages systems to develop reporting to monitor and proactively report on group risk, identify cost impact, and partner with service teams to develop solutions for upcoming client renewals.
Leads and/or supports discussions regarding stop loss renewal and cost containment.
Supports training, development and oversight to team of Clinical Risk Consultants, including management and action plans for notable trends across carriers and clients.
Identifies cost containment trends and evaluates industry vendors to support cost mitigation efforts outside of traditional medical and pharmacy carriers.
Collaborates with Alliant Analytics SMEs to support operational efficiencies for data reviews
QUALIFICATIONS
EDUCATION / EXPERIENCE
Bachelor's Degree or equivalent combination of education and experience
Thirteen (13) or more years within the insurance industry, including handling stop loss, high cost claims, and cost containment for self-funded group health plan clients
Clinical background
Providing consultation to plan sponsors of employee group benefit plans
Loss containment
Clinical claims review
SKILLS
Strong knowledge of stop loss insurance, self-funded group insurance, cost containment, and vendor selection
Strong knowledge of state and federal regulations impacting employer provided group health insurance
Strong knowledge of regulatory reporting and tax consequences for self-funded plans
Familiarity with vendor selection best practices
Skill in communicating effectively, verbally and in writing, as appropriate for the needs of the audience
Ability to analyze complex information and develop plans to address identified issues
Ability to work collaboratively and build strategic relationships with others
Ability to work and thrive in a fast-paced, dynamic environment with frequent interruptions, distractions, and a fluctuating workload
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