Client Financial Associate
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Job Description
Client Financial Associate managing claims expense analysis, forecasting, and invoicing for Blue Cross NC. Supporting stop loss coverage, reconciliations, reporting, and audits.
Responsibilities:
- Handle financial claims expense invoicing, reporting, analysis, reimbursement determination, and forecasting
- Prepare weekly invoicing, statements, financial claims expense reports, and month-end closing materials
- Research administrative services and stop loss coverage, including root cause analysis and inquiry resolution
- Analyze claims, plan policies, products, rates, membership, enrollment, underwriting, direct sales, contracts, and program engagement
- Support financial analysis and forecasting for claims expense and stop loss coverage
- Prepare financials for employer groups or stop loss vendors using claims, credits, trends, reports, and other factors
- Review employer group subgroup expenditures for compliance with Administrative Agreements
- Prepare reports, variance analyses, estimates, and adjustments for employer groups, vendors, sales, underwriting, and other audiences
- Verify and identify manual transaction fees and contractual adjustments
- Reconcile statements of account and assist with monthly run-out and final close-out activities
- Compile data for internal and external audits
- Process client transactions including claims holds or suspensions, run-out administrative fees, and employer group settlements
- Determine stop loss benefit eligibility based on contract terms and investigate related vendor inquiries
- Assist with quality reviews of operational inquiries to ensure information accuracy and expected service levels
Requirements:
- Bachelor's degree or advanced degree (where required)
- 0-2 years of experience in related field
- In lieu of degree, 3+ years of experience in related field
- Ability to work virtually with a few in-office visits each year, consistent with the Remote Flex approach
Benefits:
- Work-life balance, flexibility, and autonomy
- Medical, dental, and vision coverage
- Health and wellness programs
- Parental leave and support
- Adoption and surrogacy assistance
- Career development programs
- Tuition reimbursement for continued education
- 401(k) match including an annual company contribution
- Paid Time Off (PTO)
- Annual Incentive Bonus
- Remote work with a few in-office visits each year for meaningful moments
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