Job Summary
A financial services company is seeking a Remote Stop Loss and Health Claim Analyst.
Core Responsibilities Include:
- Determining the eligibility of assigned claim
- Applying the appropriate contractual provisions to the medical facts and specifications of the claim
- Maintaining claim block and meeting departmental production and quality metrics
Must meet the following requirements for consideration:
- Ability to travel
- Overall knowledge of health care industry
- 5+ years’ experience processing first dollar medical claims or stop loss claim processing
- Demonstrated ability to work as part of a cohesive team
- Strong written and verbal communication skills
- Proficiency using the Microsoft Office suite of products
