Stop Loss Reimbursement Specialist

Job Summary

A company is looking for a Stop Loss Reimbursement Specialist responsible for reconciling stop loss claims and overseeing electronic reimbursements.

Key Responsibilities

• Perform monthly audits to ensure all stop loss claims are filed and reimbursements received
• Review and accurately record stop loss reimbursements
• Track reimbursement denials and prepare letters for stop loss reimbursements

Required Qualifications

• High School Diploma/GED required
• 1-2 years of experience in an office environment required
• 1-3 years of medical claims experience required
• Experience working with a TPA or other insurance company is a plus
• Proficient with Microsoft Office Suite or related software