Stop Loss Claims Coordinator

Job Summary

A company is looking for a Stop Loss Filing Coordinator to manage the end-to-end stop loss claims process.

Key Responsibilities:

• Prepare and submit stop-loss claims and documentation, ensuring accuracy and eligibility verification
• Act as the primary contact between internal teams and stop-loss carriers, providing updates on claim status
• Review stop-loss policies and generate financial data reports for internal and client use

Qualifications:

• Experience in healthcare, insurance, or third-party administration (TPA) settings, especially in stop-loss claims
• Proficiency in Microsoft Office Suite, particularly Excel
• Ability to interpret complex policy language and reconcile information across documents
• A proactive mindset with a commitment to continuous process improvement
• Prior experience with stop-loss MGUs or carriers is a plus