Title: Client Financial Associate
Duration: 6 months
Location: The role is 100% remote.
Approved conversion State (Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming)

Job Description:

• 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.

 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 30.09/hr.