Stop Loss Claims Specialist

Job Summary

A company is looking for a Stop Loss Specialist to coordinate the tracking, monitoring, documenting, and submission of stop loss claims.

Key Responsibilities

• Manage stop loss claims by compiling and submitting claims to the carrier for reimbursement
• Provide customer service by following up with internal and external customers and training new employees
• Participate in quality assurance initiatives to improve customer satisfaction and streamline procedures

Required Qualifications

• High School Diploma or equivalent
• 1+ years' experience in clerical and customer service roles
• Knowledge of medical terminology
• Preferred experience in stop loss, claims, and/or health insurance