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Senior Manager, Stop Loss Filling

Point C
Location
United States - Remote
Posted
1 month ago
Department
Stop Loss Filing
What they actually want (must-haves)
  • 7+ years of progressive stop-loss experience at a TPA, carrier, MGU, or reinsurer
  • Direct management experience of a stop-loss operations team
  • Established rapport with stop-loss carriers and MGUs
  • Demonstrated success integrating or consolidating teams on different legacy systems
  • Deep working knowledge of stop-loss policy mechanics
  • Track record of building processes to drive error rates toward zero
Nice to have
  • Experience with QicLink, VBA, or comparable TPA core administration platforms
  • Experience with Ringmaster or comparable TPA stop-loss filing software
What the job really is

The Senior Manager of Stop-Loss Operations at Point C is responsible for leading the stop-loss function within the self-funded health plan business. This includes overseeing policy setup, ensuring compliance, managing claims reimbursement, and integrating various stop-loss teams into a unified operating model. The role also involves direct oversight of team performance, developing standardized procedures, and acting as a key operational partner for Account Management and other departments.

Benefits
  • Comprehensive medical, dental, vision, and life insurance coverage
  • 401(k) retirement plan with employer match
  • Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
  • Paid time off (PTO) and disability leave
  • Employee Assistance Program (EAP)
Things to weigh
  • No specific salary range mentioned beyond the general pay transparency of $80,000 - $90,000 USD
  • Role involves managing integration of teams from acquisitions, which may present challenges
  • Experience with specific software platforms is preferred but not mandatory
Job score3.2/5
Benefits3/5
Freshness4/5
Career value4/5
Role clarity5/5
Pay transparency0/5

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