Manage Care/ Reinsurance (Sherman Oaks)

  • Address:Sherman Oaks, CA 91403 (map)
  • Date Posted:08/30/16
  • Job Type:Full-time
  • Description:
  • Account Management: Job Responsibilities: • Underwriter liaison Client /management (updates, product/risk changes)• Claimso Paid/Reported/Submitted Deadline Tracking o Email client reminder notificationso Client confirmation follow-upo Pending claims follow-up - paid claim report o Claim report review as applicableo Client and claim department liaison (clarifications, document requests, etc.)• License management o Renewalso Apply/renew non-resident license o Manage license spreadsheeto Coordinate market producer documentation• Market securities/managemento Update Market list as applicableo Ensure current rating on file (S&P and AM Best)o Coordinate/prepare market highlights/industry rating Coord inate market security documents for clients• Maintenance of Client Portals - o New businesso New/Existing User management o Coverage summaryo User Agreement as applicable• Premium liaison -o Remittance form reviewo Communication of rate/product line changes o Clarification assistance as applicable• Coordinate renewal of E&O, D&O and Crime policies• Experience Refundso Review premium/claims totals o Review calculationso Coordinate client/underwriter sign-off• Electronic File Management o RFPso DOFRSo Renewal presentation/ client email filing• Renewal Activities for HMO Reinsurance and Provider Excess policies o Preparation• Coordinate/prepare renewal files for each client• DOFR• Membership• Rate comparison • Draft presentation• RFP Overview• Renewal website management• Ensure client websites are current• Update client website to allow for accurate Renewal Questionnaire link• Coordinate client renewal, package underwriting files/data o Renewal email notification/follow-up• Completed Renewal Questionnaire reviewo Transfer claim file (one before prior one) to RFP file o Provide client with Secure file link as neededo Review final and current year claim data (e.g. DOS, clarifications (codes), etc)o Compare claim data to paid claim reports o Draft RFP specso Create secure file transmission link & upload all renewal files (e.g. claim data, membership, utilization, etc)o Submit to enforce underwriter and/or market• Client/Underwriter liaison - claim report clarifications, supplemental underwriting file requests• Comprehensive quote review (competitiveness/accuracy /revision requests)• Update rate comparison file. • Coordinate/prepare renewal presentations with renewal coverage & market quotes as applicable• Forward quotes to Meredith for coordination of electronic filing• Quote contingencies and disclosure management• Binder/Application/Disclosure analysis & coordination• Policy/Agreement analysis coordinate revision requests• Reports:o Action Itemso Claim deadlineso Renewal tracking sheets
Ad ID: 45812266
  • Posted by: Ad Partner | View all ads
  • Profile: Active since 08/2016
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