Stop Loss Claims Coordinator

Job Summary

Detail-oriented and organized, the remote Stop Loss Filing Coordinator will manage the end-to-end stop loss claims process, serving as a liaison between internal stakeholders, clients, and stop loss carriers while ensuring timely and accurate claim submissions.

Key responsibilities:

• Prepare and submit stop-loss claims and supporting documentation, focusing on accuracy and eligibility verification
• Coordinate with internal teams, clients, and stop-loss carriers to ensure timely and complete claim submissions
• Maintain precise records of all claims activity, including correspondence and supporting documentation

Required qualifications:

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