Stop Loss Claims Specialist

Job Summary

A company is looking for a Stop Loss Claims Specialist I-Specific.

Key Responsibilities

• Compile and submit claim reports and necessary documentation for stop loss claims
• Monitor claim status and follow up with stop loss carriers for timely reimbursements
• Appeal denied or reduced claim reimbursements and manage claim filings per contract stipulations

Required Qualifications, Training, and Education

• High School diploma or equivalent required; some college or equivalent work experience preferred
• 1-2 years of claims experience in a self-funded environment
• Thorough knowledge of Stop Loss terminologies and catastrophic claim handling
• Proficient with Microsoft Office Suite, especially Excel
• Accounting or Finance background is a plus