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About the role
Key responsibilities & impact- Review claims and interpret contracts
- Disperse reimbursement and ensure documentation supports Stop Loss claim determination
- Provide customer service and manage financial risk for assigned claims
- Develop, coordinate, and implement action plans for claims management
Requirements
What you’ll need- Bachelor's degree preferred
- A minimum of three to five years’ experience processing first dollar medical claims or stop loss claim processing
- Demonstrated ability to work as part of a cohesive team
- Knowledge of Stop Loss Claims and Stop Loss industry preferred
- Strong written and verbal communication skills
- Demonstrated success in negotiation, persuasion, and solutions-based underwriting
- Overall knowledge of health care industry
- Proficiency using the Microsoft Office suite of products
Benefits
Comp & perks- Generous vacation and sick time
- Market-leading paid family, parental and adoption leave
- Medical coverage
- Company paid life and AD&D insurance
- Disability programs
- Partially paid sabbatical program
- 401(k) employer match
- Stock purchase options
- Employer-funded retirement account
- Flexible, inclusive and collaborative work environment
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims processingStop Loss claim processingdocumentation supportfinancial risk managementnegotiationpersuasionsolutions-based underwriting
Soft Skills
customer serviceteamworkwritten communicationverbal communication