Job Details

A company is looking for a Stop Loss Claims Specialist I-Aggregate.Key ResponsibilitiesCompile and submit claim reports and necessary documentation for stop loss claimsMonitor claim statuses and follow up with stop loss carriers to ensure timely reimbursementsAppeal denied or reduced reimbursements and audit aggregate positions while tracking funding balancesRequired Qualifications, Training, and EducationHigh School diploma or equivalent required; some college or equivalent work experience preferred1-2 years of claims experience in a self-funded environmentThorough knowledge of Stop Loss terminologies and catastrophic claim handlingProficiency in Microsoft Office Suite, especially ExcelAccounting or Finance background is a plus