Reinsurance Claims Analyst

Job Summary

Supporting the timely filing of reimbursement claims, the full-time remote Reinsurance Claims Analyst will manage reinsurance processes, track claims, and collaborate with various departments to ensure accurate documentation and compliance.

Key Responsibilities:

• Review and ensure accurate setup of stop loss policies within claims management systems
• Collect and verify documentation for stop loss claims, ensuring timely and accurate submissions
• Monitor accounts for compliance with reporting requirements and track premium remittances

Required Qualifications:

• Experience in medical claims processing, preferably in reinsurance
• Familiarity with reinsurance policies and terms such as TLO and Aggregating Specific Deductible
• Strong analytical skills with the ability to manage complex data and claims
• Intermediate proficiency in Microsoft Office 365, particularly Excel
• Highly organized with a keen attention to detail and accuracy