Stop Loss Claims Analyst

A company is looking for a Stop Loss Analyst to oversee stop loss policy administration for self-funded clients. Key Responsibilities Monitor and report on members and clients approaching stop loss thresholds Compile and submit stop loss claim filings to maximize reimbursement Communicate with various departments, external vendors, clients, and carriers to ensure accurate processing Required Qualifications 4 years of stop loss claims experience Experience with first dollar payer insurance and medical billing practices Associates degree required; Bachelor's degree preferred Demonstrated proficiency in Microsoft Excel Ability to work independently and manage multiple priorities

Apr 5, 2025 - 00:25

A company is looking for a Stop Loss Analyst to oversee stop loss policy administration for self-funded clients. Key Responsibilities Monitor and report on members and clients approaching stop loss thresholds Compile and submit stop loss claim filings to maximize reimbursement Communicate with various departments, external vendors, clients, and carriers to ensure accurate processing Required Qualifications 4 years of stop loss claims experience Experience with first dollar payer insurance and medical billing practices Associates degree required; Bachelor's degree preferred Demonstrated proficiency in Microsoft Excel Ability to work independently and manage multiple priorities