• Maintain a process for identifying potential specific claimants within each client’s utilization data • Manage specific and aggregate claim submission processes, acting as liaison between Centivo and its stop loss carrier partners • Ensure new carriers have Non-Disclosure Agreements in place before sharing any client data • Provide stop loss carrier with necessary information required for claim reimbursement consideration and appeal submissions • Request changes to stop-loss policy and/or client SPD as needed to ensure seamless coverage • Participate in internal workgroups and task force(s) as needed to successfully implement stop loss administration in claims system • Analyze stop-loss policies against the quote, application, and plan document for accuracy and agreement • Create and deliver monthly reports to carriers, including Aggregate Accommodations and Year-End Aggregate Filings • Schedule and automate recurring reporting tasks to meet internal and carrier-specific goals • Generate timely and accurate financial data for monthly report submissions • Proactively reviews weekly reports to identify potential high-cost claimants • Participate actively in team and department meetings on stop loss administration process and client/product implementation planning • Ensure stop loss industry knowledge is current, bringing forward ideas and recommendations to ensure Centivo has competitive position in the marketplace • Convey renewal information for stop-loss rates internally within Centivo • Utilize developed understanding of all aspects of operational functions to efficiently perform to the established service standards as related to renewals and client service • Elevate client issues and concerns to appropriate Manager, Client Services and/or Account Management • Performs other miscellaneous projects, assignments, and duties as assigned by management