Senior Stop Loss Claims Auditor

Job Summary

A company is looking for a Senior Stoploss Claim Auditor.

Key Responsibilities

• Audit and authorize reimbursement for medical stop loss claims while identifying cost mitigation opportunities
• Initiate investigations, interpret plan language, and manage follow-ups on claims
• Generate claims system reports and assist in the training and auditing of claims auditors

Required Qualifications

• Associate's degree required
• 6 years of experience in managed care or reinsurance claims required