Director of Data Governance & Insights Enablement overseeing data governance and analytics for Pfizer Patient Services. Leading a team to ensure compliance and data quality across operations.
About the role
- Support Specialist managing stop-loss benefit plans while delivering exceptional client service and support. Collaborating with Account Executives and ensuring accurate claims and reporting management.
Responsibilities
- Serve as a trusted point of contact for clients, both brokers and groups, providing exceptional customer service and timely submission of claims and reporting.
- Support Account Executives in managing client relationships and ongoing service needs.
- Manage the stop-loss work center queue.
- Work with the Wholesure Specialty Placement accounting team to ensure timely payment of premium for all clients.
- Ensure broker commissions are paid timely.
- Liaise with insurance carriers, vendors, and TPAs to ensure issue resolution.
- Maintain accurate client records, documentation, and claim and reporting tracking within agency management.
- Analyze data and provide insights.
- Identify opportunities to improve service processes and enhance the overall client experience.
- Build strong, long-term client, carrier, and TPA relationships through responsiveness, professionalism, and attention to detail.
Requirements
- 2+ years of experience in stop loss insurance, claims administration, MGU, carrier, or TPA environment
- Working knowledge of specific and aggregate stop loss coverage and policy provisions
- Experience coordinating with TPAs, carriers, and broker partners
- Exceptional customer service and communication skills, both written and verbal.
- High attention to detail with strong organizational and time-management abilities.
- Ability to manage multiple priorities in a fast-paced, deadline-driven environment.
- Proficiency with benefits administration systems, carrier portals, and CRM tools.
Benefits
- Comprehensive medical insurance, dental insurance, and vision insurance
- Life and disability insurance
- Fertility benefits
- Wellness resources
- Paid sick time
- Generous paid time off and holidays
- Employee Assistance Program (EAP)
- Complimentary Calm app subscription
- Immediate vesting in a 401(k) plan
- Health Savings Account (HSA) and Flexible Spending Account (FSA) options
- Commuter benefits
- Employee discount programs
- Paid maternity leave and paid paternity leave (including for adoptive parents)
- Legal plan options
- Pet insurance coverage
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