Clinical Risk Consultant

Alliant Insurance Services
United States, California, Irvine
18100 Von Karman Avenue (Show on map)
Feb 25, 2025
Clinical Risk Consultant United States * Virtual Req #3272 Tuesday, February 25, 2025 At Alliant Insurance Services, we thrive on creating employee benefits solutions built on the idea that health makes growth possible. As top tier professionals dedicated to solving our clients' health and welfare insurance challenges, Alliant team members deliver an unrivaled depth of service, and our unique approach enables us to help clients stay resilient and turn change into opportunity. This position is a chance to join a dynamic, expanding company with prospects for individual and career growth. As one of the 10 largest insurance brokerage firms in the U.S., Alliant provides property and casualty, workers' compensation, employee benefits, surety, and financial products and services to clients nationwide. More information is available at www.alliant.com. SUMMARY Provide analytical and consultative stop loss support to Alliant service teams and clients. Work closely with Stop Loss/MGA practice leadership. Support renewal conversations with clients and vendors. Provide ongoing cost containment identification and evaluation support to clients. ESSENTIAL DUTIES AND RESPONSIBILITIES * Conduct research, review clinical notes, and prepare claims data loss analysis to provide actionable recommendations for clients and prospects. * Responsible for Alliant's proprietary Plan IQ predictive risk tool maintenance and reporting. * Leverage systems to develop reporting to monitor and proactively report on group risk, identify cost impact, and partner with service teams to develop solutions for upcoming client renewals. * Lead and/or support discussions regarding stop loss renewal and cost containment. * Market clients' self-funded group benefit plans to offer the most competitive stop loss insurance renewal and options. * Other duties as assigned. QUALIFICATIONS EDUCATION / EXPERIENCE * Bachelor's degree or equivalent combination of education and experience * Ten (10) or more years' experience within the insurance industry, including handling stop loss, high cost claims, and cost containment for self-funded group health plan clients * Experience in a clinical background * Experience in providing consultation to plan sponsors of employee group benefit plans * Experience with loss containment preferred * Experience with clinical claims review preferred SKILLS * Strong knowledge of stop loss insurance, self-funded group insurance, cost containment, and vendor selection * Strong knowledge of state and federal regulations impacting employer provided group health insurance * Strong knowledge of regulatory reporting and tax consequences for self-funded plans * Familiarity with vendor selection best practices * Skill in communicating effectively, verbally and in writing, as appropriate for the needs of the audience * Ability to analyze complex information and develop plans to address identified issues * Ability to work collaboratively and build strategic relationships with others * Ability to work and thrive in a fast-paced, dynamic environment with frequent interruptions, distractions, and a fluctuating workload #LI-REMOTE #LI-AQ1 We are proud to provide comprehensive, high quality employee programs to meet employees' needs now and in the future, including a very competitive financial package. We encourage you to explore what we have to offer. For immediate consideration for this position, please click on the "Apply Now" button. Alliant Insurance Services, Inc. is an equal opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, color, age, religion, gender, sexual orientation, gender identity, national origin, disability, protected veteran status or any other protected status. If you are applying for a job and need a reasonable accommodation for any part of the employment process, please call our Career Center at 1-877-901-9473 and let us know the nature of your request and contact information. For more information on Alliant Insurance Service's benefits, click here . Other details Pay Type Salary Min Hiring Rate $100,000.00 Max Hiring Rate $120,000.00 Apply Now United States Virtual Share this job: