Stop Loss Claims Analyst

Responsibilities

• Perform quality review and evaluation of all claim submissions received and logged into our claims system to determine whether the amount requested is eligible for reimbursement.
• This Position Can Either Be Fully Remote (if Not Within a Commutable Distance To The Office) Or Based In One Of Our Offices Hamilton Square, NJ West Hartford, CT Marlborough, MA Kulpsville, PA
• We offer hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.

Qualifications

• 3-5+ years stop loss claims experience
• Prior experience handling first dollar payer insurance (medical healthcare claims)
• Experience with medical billing practices, CPT codes, revenue codes, and/or universal billing
• Detail oriented with a high degree of accuracy and ability to multitask
• Strong problem solving, decision-making, reporting and analytical skills
• Must possess good judgment and work effectively with internal business areas, peers and co-workers
• Demonstrated proficiency in Microsoft Office software

What Makes You Stand Out

• Prior experience handling stop loss claims at the reinsurance level (medical healthcare claims)
• Ability to work independently, prioritize, organize and assign own work to meet deadlines
• Ability to accept changing priorities with a minimum of disruption

Benefits

• Competitive compensation plan
• Robust benefits package for full time regular employees including:
• Base Salary Range: $70,000 - $90,000
• Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and generous profit-sharing plan