Claims and Implementation Specialist

🔥 1 hour ago

🇺🇸 United States – Remote

💵 $65k - $70k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛠️ Implementation Specialist

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OneDigital

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2000

💸 Finance

👥 HR Tech

Insurance • Finance • HR Tech

OneDigital is a company that specializes in providing insurance, financial services, and HR consulting solutions. By leveraging technology and innovation, OneDigital aims to transform complex and inefficient landscapes through business automation, APIs, product development, and AI. Their services include employee benefits consulting, property and casualty insurance, retirement plan administration, and wealth management. OneDigital is committed to diversity, equity, inclusion, and belonging within its corporate culture and offers a range of services aimed at helping businesses and individuals achieve their aspirations of health, success, and financial security.

📋 Description

• Manage post-sale implementation of new stop loss, captive, level-funded, and self-funded programs • Develop, maintain, and oversee implementation timelines and project plans • Coordinate onboarding activities between employers, consultants, TPAs, stop loss carriers, captive managers, and vendor partners • Facilitate implementation meetings and provide regular status updates to stakeholders • Ensure completion and submission of all required implementation documentation, applications, contracts, and enrollment materials • Report all members that exceed 50% of the specific deductible to the stop loss vendor • Submit eligible paid claims to the excess loss vendor • Update and maintain company databases, including D365

🎯 Requirements

• Bachelor's degree preferred • 2–5 years of experience in employee benefits, health insurance, stop loss, TPA operations, captive programs, implementation, account management, or project coordination • Intermediate to advanced Microsoft Excel skills • Current Life & Health Insurance License or ability to obtain within 90 days of hire

🏖️ Benefits

• health, wellbeing, retirement, and other financial benefits • paid time off • overtime pay for non-exempt employees • robust learning and development programs • reimbursement of job-related expenses • employee perks and discounts