Stop Loss Claims Specialist

Job Summary

A company is looking for a Stop Loss Support Specialist to manage complex claims and provide guidance to staff.

Key Responsibilities

• Review complex claims and make informed decisions regarding excess risk claims
• Respond to inquiries from internal and external stakeholders regarding claims
• Provide direction and training to less experienced claims staff while managing claim suspense accounts

Required Qualifications

• High School Diploma or GED
• 3-5 years of claims or insurance experience
• Knowledge of industry-related claim systems and practices
• Proficiency in MS Excel (macros, pivots, and formulas)
• Demonstrated leadership skills