Responsible for preparing and filing medical stop loss claims for reimbursement with stop loss carriers for individual stop loss (Specific) coverage.
Additional responsibilities include:
- Following up with carriers to ensure reimbursements are received timely and in full
- Appealing denied or reduced claim reimbursements
- Retaining documentation to support reimbursement requests
- Training team members
- Maintaining relationships with priority carriers
- Working with internal departments to resolve claim issues
Requirements & Qualifications
Education
- High school diploma or GED required
- College degree preferred
Experience
- Minimum 2 years of stop loss claim filing experience required
- Medical claims experience required
- Accounting or finance background a plus
Skills
- Proficiency with Microsoft Office Suite or related software
- Strong analytical and problem-solving skills
- Excellent verbal and written communication skills
- Excellent organizational skills and attention to detail
- Excellent time management skills with the ability to meet deadlines
Benefits & Perks
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Disability insurance
- Generous paid time off
- Tuition reimbursement
- Employee assistance program (EAP)
- Technology stipend
- Remote work flexibility
Location
Chicago, Illinois, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago