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financial associate
Thoughtwave Software and Solutions • Remote • Posted today
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Remote • Full-time • Entry Level
Job Highlights
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The Financial Associate at Thoughtwave Software and Solutions will assist in the development, analysis, interpretation, invoicing, reporting, and presentation of financial claims expense and stop loss coverage information. This role requires a customer-facing, analytical, and finance background, as well as proficiency in Excel and healthcare industry experience. The position is remote but must be within approved states.
Responsibilities
- Assist in the development, analysis, interpretation, invoicing, reporting, and presentation of historical and/or forecasted financial claims expense and stop loss coverage information.
- Support preparation of invoicing and financial claims expense forecasts.
- Support preparation of financials for loss coverage for employer groups or stop loss vendors based on actual high dollar claims and/or claimants performance, previous stop loss credits, estimated claims expense trend, expense reports and other factors.
- Support the review of expenditures of employer groups subgroups to ensure conformance to Administrative Agreement.
- Support the preparation of reports and analysis for various audiences such as Self-Funded Groups (Employer), Stop Loss Vendors, Sales, Underwriting, etc. Support the monthly variance analysis (at employer group level or consolidated company level).
- Verification and identification of manual transaction fees/ contractual adjustments
- Preparation of any estimates and adjustments that may be needed for new or existing business.
- Prepare Statement of account reconciliations, assist with the monthly run out and final close out activities, prepare schedules, etc.
- Assist with compilation of data for internal/external audit.
- Process a variety of client transactions that may include suspend and/or hold of claims, Run out administrative fees, and/or employer group settlement.
- Determine benefit eligibility for stop loss coverage on claims for specific claimants based on contract terms.
- Assist with quality reviews of operational inquiries to determine the accuracy of information provided and ensure employees are functioning at the expected level of service to enhance customer satisfaction.
Qualifications
Required
- Bachelor's degree or advanced degree (where required)
- 0-2+ years of experience in related field
- Must have customer facing, analytical and finance background
- Access and Excel skills
- Healthcare industry experience
Full Job Description
Client Financial Associate
Remote within approved states (BCBS states - Alabama Arizona Colorado Florida Georgia Idaho Maryland Michigan Pennsylvania South Carolina Tennessee Texas Virginia, North Carolina, Arkansas, Indiana, Iowa, Kansas, Louisiana, Mississippi, Missouri, Ohio, Oklahoma, South Dakota, Utah, Wyoming, Kentucky, Wisconsin)
TOP Needs
Must have customer facing, analytical and finance background.
Access and Excel skills are a requirement
Healthcare industry experience needed
Job Description Summary
Assist in the development, analysis, interpretation, invoicing, reporting, and presentation of historical and/or forecasted financial claims expense and stop loss coverage information.
Support preparation of invoicing and financial claims expense forecasts.
Support preparation of financials for loss coverage for employer groups or stop loss vendors based on actual high dollar claims and/or claimants performance, previous stop loss credits, estimated claims expense trend, expense reports and other factors.
Support the review of expenditures of employer groups subgroups to ensure conformance to Administrative Agreement.
Support the preparation of reports and analysis for various audiences such as Self-Funded Groups (Employer), Stop Loss Vendors, Sales, Underwriting, etc. Support the monthly variance analysis (at employer group level or consolidated company level).
Verification and identification of manual transaction fees/ contractual adjustments
Preparation of any estimates and adjustments that may be needed for new or existing business.
Prepare Statement of account reconciliations, assist with the monthly run out and final close out activities, prepare schedules, etc.
Assist with compilation of data for internal/external audit.
Process a variety of client transactions that may include suspend and/or hold of claims, Run out administrative fees, and/or employer group settlement.
Determine benefit eligibility for stop loss coverage on claims for specific claimants based on contract terms. Includes a variety of stop loss vendor transactions such as inquiries regarding utilization, provider information, medical reviews, Leave of absence language, COBRA benefits, and plan documentation.
Assist with quality reviews of operational inquiries to determine the accuracy of information provided and ensure employees are functioning at the expected level of service to enhance customer satisfaction.
Hiring Requirements
Bachelor's degree or advanced degree (where required)
0-2+ years of experience in related field
In lieu of degree, 3+ years of experience in related field
Remote within approved states (BCBS states - Alabama Arizona Colorado Florida Georgia Idaho Maryland Michigan Pennsylvania South Carolina Tennessee Texas Virginia, North Carolina, Arkansas, Indiana, Iowa, Kansas, Louisiana, Mississippi, Missouri, Ohio, Oklahoma, South Dakota, Utah, Wyoming, Kentucky, Wisconsin)
TOP Needs
Must have customer facing, analytical and finance background.
Access and Excel skills are a requirement
Healthcare industry experience needed
Job Description Summary
Assist in the development, analysis, interpretation, invoicing, reporting, and presentation of historical and/or forecasted financial claims expense and stop loss coverage information.
Support preparation of invoicing and financial claims expense forecasts.
Support preparation of financials for loss coverage for employer groups or stop loss vendors based on actual high dollar claims and/or claimants performance, previous stop loss credits, estimated claims expense trend, expense reports and other factors.
Support the review of expenditures of employer groups subgroups to ensure conformance to Administrative Agreement.
Support the preparation of reports and analysis for various audiences such as Self-Funded Groups (Employer), Stop Loss Vendors, Sales, Underwriting, etc. Support the monthly variance analysis (at employer group level or consolidated company level).
Verification and identification of manual transaction fees/ contractual adjustments
Preparation of any estimates and adjustments that may be needed for new or existing business.
Prepare Statement of account reconciliations, assist with the monthly run out and final close out activities, prepare schedules, etc.
Assist with compilation of data for internal/external audit.
Process a variety of client transactions that may include suspend and/or hold of claims, Run out administrative fees, and/or employer group settlement.
Determine benefit eligibility for stop loss coverage on claims for specific claimants based on contract terms. Includes a variety of stop loss vendor transactions such as inquiries regarding utilization, provider information, medical reviews, Leave of absence language, COBRA benefits, and plan documentation.
Assist with quality reviews of operational inquiries to determine the accuracy of information provided and ensure employees are functioning at the expected level of service to enhance customer satisfaction.
Hiring Requirements
Bachelor's degree or advanced degree (where required)
0-2+ years of experience in related field
In lieu of degree, 3+ years of experience in related field
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