Coordinating the tracking and submission of stop loss claims, the full-time Stop Loss Claims Specialist will manage claims documentation, resolve carrier inquiries, and ensure compliance with internal and regulatory standards in a 100% remote environment. Key responsibilities Compiles and submits stop loss claims to the carrier for reimbursement while maintaining accurate records Acts as a customer service role model, providing timely follow-up and escalating issues as necessary Performs quality assurance by monitoring trends and collaborating with teams to improve internal processes Required qualifications High School Diploma or GED 2-3 years of experience in medical claims administration or health insurance operations Experience with self-funded medical plans and understanding of stop loss concepts Ability to review and prepare supporting documents such as EOBs and claims extracts Proficient in Microsoft Office and possess strong organizational and analytical skills
Stop Loss Claims Specialist in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.