Senior Stoploss Claim Auditor

This is a fully remote position, open to applicants in Florida.

📋 Description

• Review and authorize reimbursement for designated medical stop loss claims

• Successfully manage client medical stop loss claims while delivering exceptional customer service

• Assess and process stop loss claims, and request suitable reimbursement from the carrier

• Engage in effective communication with carriers, vendors, and management

⛳️ Requirements

• Associate's degree

• 6 years of experience in managed care or reinsurance claims

• Ability to analyze laws, regulations, and contractual language

• Capable of evaluating issues and formulating recommendations

• Proficient in handling confidential and sensitive information

🏝️ Benefits

• Health insurance

• 401(k) matching

• Paid time off

• Flexible working arrangements

• Professional development opportunities