Claims Administrator - Hybrid Schedule & Growth

Roundstone, Inc.; Cleveland (OH); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Annual bonus

Dependent care match

PTO from day 1

Tuition reimbursement

Hybrid schedule

401(k) match

Employee Assistance Program

On-site gym

Life insurance

Short-term disability

Job summary

Roundstone, Inc. in Lakewood, Ohio is seeking a Stop Loss Claims Administrator to receive and process claims submitted by our third-party administrators.

You will accurately input claims data and process low dollar claims, ensuring timely completion and compliance with deadlines. This role requires precise attention to detail, excellent verbal and written communication, and strong time management to handle multiple workstreams.

Qualifications

• Precise attention to detail.
• Excellent verbal communication, collaboration, and written skills.
• Strong organizational and time management skills; handles multiple workstreams with deadlines simultaneously.
• Proficiency in Microsoft Office (Word, Excel).
• Desire to be a part of a collaborative team.
• Open to learning and taking on new challenges.
• Bachelor's degree preferred

Responsibilities

• Initial point of contact in the claims department.
• Setting up claims.
• Conducting analysis of submission materials.
• Utilize claim notices to determine appropriate claim action.
• Communicate with third party administrators to discuss claim submissions.
• Adjudication of claims up to a specific dollar limit.
• Other duties as assigned.

Skills

Attention to detail

Verbal communication

Written communication

Time management

Microsoft Office

Team collaboration

Learning mindset

Education

Bachelor's degree preferred

Tools

Microsoft Office

Job description

Roundstone, Inc. in Lakewood, Ohio is seeking a Stop Loss Claims Administrator to receive and process claims submitted by our third-party administrators.

You will accurately input claims data and process low dollar claims, ensuring timely completion and compliance with deadlines. This role requires precise attention to detail, excellent verbal and written communication, and strong time management to handle multiple workstreams.