Medical Stop Loss Claims Examiner

Job Summary

A company is looking for a Claims Examiner - Medical Stop Loss - Remote.

Key Responsibilities

• Review claim submissions for accuracy and compliance with Plan Documents and Policies
• Communicate claim payment and denial decisions clearly and professionally
• Maintain reporting and communication with the team and management regarding assigned responsibilities

Required Qualifications

• Bachelor's degree from an accredited university or equivalent experience required
• 3+ years of medical stop loss claim experience required
• Strong working knowledge of Microsoft Office suite; ESL Office experience preferred
• Ability to establish rapport with all stakeholders
• Commitment to exploring and assisting in implementing new processes for organizational effectiveness