Impactful Stop-Loss Claims Coordinator

Point C; United States; On-site; USD 45,000 - 50,000; Full time

Benefits offered by this job

Comprehensive medical, dental, vision,

401(k) with employer match

HSA & FSAs

PTO and disability leave

EAP

Job summary

Point C Health is seeking a detail-oriented Stop Loss Filing Coordinator to join our team in the United States. The role focuses on managing end-to-end stop-loss claims, acting as the liaison between clients, internal teams, and stop-loss carriers.

Accuracy, organization, and proactive communication are essential. The ideal candidate will have healthcare/insurance/TPA experience, strong Excel and Office skills, and a drive for process improvement to support renewals and policy reviews.

Qualifications

• Experience in healthcare, insurance or TPA settings with stop-loss exposure.
• Able to interpret complex policy language and reconcile documents.
• Strong written and verbal communication for internal and external stakeholders.
• Proactive with a mindset for continuous process improvement.

Responsibilities

• Prepare and submit stop-loss claims and supporting documentation with accuracy.
• Coordinate with clients, internal teams, and stop-loss carriers for timely submissions.
• Maintain precise records of claims activity and correspondence.
• Serve as primary contact between internal teams and MGUs/carriers.
• Provide updates on claim status, issues, and timelines.
• Support quote renewals and policy reviews with Account Managers.
• Review stop-loss policies, quotes and plan documents for alignment.
• Generate monthly financial reports for internal and client use.
• Identify opportunities to streamline stop-loss filing processes.

Skills

Attention to detail

Healthcare/insurance/TPA experience

Strong communication skills

Policy interpretation

Process improvement mindset

Tools

Microsoft Office Suite

Excel

Job description

Point C Health is seeking a detail-oriented Stop Loss Filing Coordinator to join our team in the United States. The role focuses on managing end-to-end stop-loss claims, acting as the liaison between clients, internal teams, and stop-loss carriers.

Accuracy, organization, and proactive communication are essential. The ideal candidate will have healthcare/insurance/TPA experience, strong Excel and Office skills, and a drive for process improvement to support renewals and policy reviews.