Seeking an experienced Insurance Product Administrator to build and manage various health plans like MECs, fully insured, level-funded and self-funded. The ideal candidate will ensure compliance with federal and state regulations, maintain plan documentation, and oversee participant communications. This role requires strong organizational skills and in-depth knowledge of health product design and service.
Key Responsibilities:
? Oversee the administration of MEC, fully insured, level-funded and self-funded health plans.
? Ensure compliance with ACA, ERISA, and other applicable regulations.
? Manage plan documentation, participant communications, and annual filings (SPDs, 5500s).
? Collaborate with other departments to ensure seamless plan operations.
? Handle escalated participant issues and complex cases.
? Oversee the administration of MEC, fully-insured, level-funded, and self-funded health plans.
? Analyze carrier data on complex clients and provide recommendations to account teams to help
with the negotiation of rates and funding levels
? Analyze and recommend optimal funding arrangements
? Assist in marketing, analysis and placement of stop loss coverages
? Price plan design and product alternatives
? Assist in reviewing contracts, preparing RFP specifications, and identifying markets for
proposals
? Assist in the workflow for monthly and quarterly financial reporting for clients
? Assist in negotiating rates with insurance carriers and other vendors
? Provide technical expertise, product updates, and training programs
? Follow industry development, changes, and legislative updates within all types plan
administration methodology
? Conduct special projects as needed
Qualifications:
? Bachelor's degree in Business Administration, Health Management, or a related field.
? Health and Life Insurance licensing required
? 5+ years of experience in health plan administration, preferably with MEC or self-funded plans.
? Strong knowledge of ACA and ERISA regulations.
? Excellent communication and organizational skills.
Skills Required:
? Critical thinking and problem-solving skills
? Excellent organization skills
? Self-motivated, goal-oriented individual
? Positive attitude and friendly demeanor
? Excellent written, verbal, and interpersonal communication skills
? Work independently and in a team environment
? Strong computer skills and working knowledge of Google software