Stop-Loss Claims Coordinator & Compliance Liaison

Openkrill; United States; Remoto; USD 45.000 - 50.000; Tempo pieno

Vantaggi offerti da questo lavoro

Comprehensive medical, dental, vision,

Life insurance

401(k) with employer match

Health Savings Account (HSA) & FSAs

PTO and disability leave

Employee Assistance Program (EAP)

Descrizione del lavoro

Point C Health seeks a detail-oriented Stop Loss Filing Coordinator to manage end-to-end stop-loss claims, acting as the liaison between internal teams, clients, and carriers. The role requires strong communication, analytical skills, and the ability to navigate complex policy documents and claim data.

The candidate will prepare claims, verify eligibility, and maintain precise records while supporting renewals and policy reviews.

Competenze

• Experience in healthcare, insurance, or TPA settings is required.
• Strong attention to detail and ability to manage multiple tasks.
• Proficiency in Excel for tracking and reporting.

Mansioni

• Prepare and submit stop-loss claims with supporting documentation.
• Coordinate with clients, internal teams, and carriers for timely submissions.
• Maintain accurate records of all claims activity and communications.
• Serve as primary contact between internal teams and stop-loss MGUs/carriers.
• Provide regular updates on claim status and timelines.

Conoscenze

Attention to detail

Organizational skills

Healthcare/insurance experience

Excel proficiency

Communication skills

Policy interpretation

Strumenti

Microsoft Office Suite

Excel

Descrizione del lavoro

Point C Health seeks a detail-oriented Stop Loss Filing Coordinator to manage end-to-end stop-loss claims, acting as the liaison between internal teams, clients, and carriers. The role requires strong communication, analytical skills, and the ability to navigate complex policy documents and claim data.

The candidate will prepare claims, verify eligibility, and maintain precise records while supporting renewals and policy reviews.