Stop Loss Aggregate Analyst

Key Responsibilities

• Prepare, update, and submit stop loss filing packages, including initial, subsequent, and year-end filings as needed
• Track claim activity and follow up through to completion with stop loss carriers and other stakeholders to help ensure reimbursements are received accurately and timely
• Maintain accurate records, logs, and supporting documentation related to assigned stop loss filings and reimbursements
• Escalate complex issues or delays appropriately and support process improvement efforts when trends or gaps are identified

Required Qualifications

• Minimum of 2 years of experience in healthcare claims processing or a related health insurance environment
• Minimum of 2 years of experience using Microsoft Office applications, particularly Excel
• Strong analytical, problem-solving, and organizational skills
• Strong verbal and written communication skills
• Able to work independently and collaboratively across a matrixed team in a fast-paced environment
• Strong attention to detail and ability to manage multiple priorities and deadlines

Preferred Qualifications

• Stop loss or reinsurance experience
• Experience preparing or supporting stop loss claim filings
• Experience reviewing plan documents, policy provisions, or reimbursement-related documentation
• Exposure to IBM AIX or AS/400 mainframe environments