Remote Stop-Loss Claims Specialist II

Allied Benefit Systems; Chicago (IL); Remote; USD 65.000 - 95.000; Vollzeit

Benefits dieser Stelle

Remote-friendly culture

Tuition reimbursement

Technology stipend

Paid time off

Medical insurance

Zusammenfassung

Allied Benefit Systems seeks a Stop Loss Claim Specialist II (Specific) to prepare and file medical stop loss claims with carriers, ensure timely reimbursements, and handle appeals. The role also involves training teammates and maintaining carrier relationships in a remote-friendly environment.

The position requires at least 2 years of stop loss claim filing experience, medical claims expertise, and strong analytical, organizational, and communication skills. College degree is preferred.

Qualifikationen

• Minimum 2 years of stop loss claim filing experience, required.
• Medical claims experience required.
• Accounting or Finance background a plus.
• Proficient 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 a proven ability to meet deadlines.

Aufgaben

• Compile and submit claim reports and the necessary documentation to file a stop loss claim.
• Monitor the status of claims assigned and follow up with stop loss carriers.
• Answer questions and requests from stop loss carriers for additional information.
• Communicate with other internal departments to resolve claim issues.
• Appeal the denials or reduction of reimbursements by the stop loss carrier.
• Filing Stop Loss Claims with priority carriers.
• Coordinating with other Stop Loss Team Members regarding priority claims.
• Filing high dollar claims.
• Retain necessary documents required by carriers from providers.
• Training team members regarding departmental process and workflows.
• Other duties as assigned.

Kenntnisse

Stop loss claim filing

Medical claims

Microsoft Office

Analytical skills

Communication

Time management

Attention to detail

Training others

Ausbildung

High School Diploma or GED

College degree preferred

Tools

Microsoft Office Suite

Jobbeschreibung

Allied Benefit Systems seeks a Stop Loss Claim Specialist II (Specific) to prepare and file medical stop loss claims with carriers, ensure timely reimbursements, and handle appeals. The role also involves training teammates and maintaining carrier relationships in a remote-friendly environment.

The position requires at least 2 years of stop loss claim filing experience, medical claims expertise, and strong analytical, organizational, and communication skills. College degree is preferred.