Stop Loss Data Specialist

A company is looking for a Stop Loss Data Specialist responsible for auditing and tracking stop loss claim filings and reimbursements.

Key Responsibilities

Perform monthly audits to ensure all stop loss claims are filed and reimbursements received

Update and manage stop loss tracking logs to monitor members' deductible status

Gather and prepare data for filing Rx stop loss claims and manage the cash advance process

Required Qualifications

High School diploma or equivalent required; some college or equivalent work experience preferred

1-2 years of experience in an office environment required

Medical claims experience preferred

Accounting or finance background is a plus

Experience working with a TPA or other insurance company is a plus