This role involves reviewing, evaluating, and processing Stop Loss claims, ensuring compliance with policies and regulations.
It includes handling daily claims, analyzing complex cases, and identifying discrepancies, with responsibilities for client communication and relationship building.
The position requires 5+ years in health insurance claims, with 3+ years processing health claims and medical terminology experience; prior Stop Loss claims experience is preferred.
Skills in communication, organization, time management, problem-solving, and working independently are essential.
The role is office-based, with some travel (0-25%), and involves training colleagues and managing physical demands. Salary ranges from $23.16 to $35.88 per hour.