Review stop-loss claims and medical records to identify high-cost and catastrophic risks, and provide written clinical assessments and reserve recommendations to guide underwriting and renewal decisions. Advocate for laser reductions or removals, support partners on complex cases, and develop clinical education and cost-containment resources.
Manage client renewals by reviewing submissions and underwriting files, resolving discrepancies with brokers, coordinating with stop-loss markets, and ensuring accurate proposals and documentation. Oversee account distribution, renewal notifications, book management, and implementation of new accounts with internal teams and external partners.
