TPA Services Proposal Coordinator

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Job Summary:

Assists in the development, completion and submission of bids and proposals for Third Party Administration (TPA) services such as stop loss coverage, administrative fees, and other programs for prospects, clients and vendors. Gathers information internally and from other vendors to assimilate into the appropriate responses that best reflect the customer needs. Develops and improves language and materials for the completion of informational and pricing requests.

Responsibilities:

• Prepares data reporting packages for the marketing of stop loss coverage. Runs reports from internal systems and gathers pertinent client data (e.g., claims, eligibility, etc.) to enable sales to shop stop loss and administrative fees.
• Interacts with Sales/Service Team, stop-loss and other vendors to firm the stop loss renewal and place new coverage. Follows through until final issuance of the policy.
• Prepares proposal for delivery to the client which includes administrative fee renewal and financial illustration of the stop loss renewal and marketing results.
• Maintains internal data and coordinates plan information.
• Prepares standard legal documents and fully executed policies as applicable. Files appropriately.
• Performs other duties as assigned.

Qualifications:

Education and Experience:

• Associate Degree in Business or Healthcare Administration, Finance or related field.
• Equivalent education and experience directly related to the role may substitute for a degree.
• 5 years experience in health insurance sales operations support or related area, which includes working with stop loss carriers.

Professional Certification(s):

• Ohio Life and Health Insurance License a plus.

Technical Skills and Knowledge:

• Thorough knowledge of health insurance benefits, self-funding, stop-loss, and medical management.
• Knowledge of claims adjudication systems.
• Strong math skills.
• Intermediate Microsoft Office skills (Word, Excel).

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits and Compensation:

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

#LI-MM1 #LI-HYBRID

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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