Senior Stop Loss Claim Auditor

Job Summary

A company is looking for a Senior Stoploss Claim Auditor.

Key Responsibilities

• Audit and authorize reimbursement of medical stop loss claims
• Initiate claims investigations and manage vendor referrals
• Generate and maintain claims system reports and assist in training claims auditors

Required Qualifications

• Associate's degree
• 6 years of managed care or reinsurance claims experience
• Experience analyzing laws, regulations, and contract language
• Ability to handle confidential and sensitive information
• Experience with aggregate claims