Stop Loss & Health Claim Analyst
job description

Job Advertisement: Stop Loss & Health Claim Analyst

Our esteemed organization is currently looking for a meticulous and resourceful Stop Loss & Health Claim Analyst to join our fast-growing, dynamic team. This exciting opportunity is designed for a self-motivated and analytical thinker who has a deep understanding of health claims and stop loss insurance processes.

As a Stop Loss & Health Claim Analyst, you will serve as a focal point between key stakeholders to assess, manage, and resolve health insurance claims related to the company's stop loss insurance coverage. We're on the hunt for innovative individuals who can contribute to the enhancement of our claim processes, ensuring efficiency and accuracy in our transactional operations.

Primary Responsibilities:

1. Analyzing and managing health insurance claims in combination with stop loss insurance policies.
2. Reviewing and validating claim submissions for compliance with both stop loss policies and internal guidelines.
3. Working collaboratively with team members to resolve claim issues and discrepancies.
4. Preparing and presenting reports documenting the status of claims, issues, and resolutions.

Preferred Qualifications:

1. Bachelor’s degree in business administration or a related field.
2. Minimum of two years’ experience managing health insurance claims.
3. Knowledge of stop loss policies and claims processing.
4. Excellent analytical, organizational, and problem-solving skills.
5. Strong communication skills, both written and verbal.
6. Proficiency in relevant computer applications and databases.

This position presents an opportunity to not only expand your skill set but also contribute to a team that continuously adapts and improves its practices to meet the needs and expectations of its clients. We provide a supportive, inclusive work environment and offer competitive remuneration and growth opportunities.

If you are a proactive professional with a can-do attitude, who enjoys working in a fast-paced environment and meeting challenges head-on, you are what we're looking for. Apply now to join an organization that values the talent and contribution of its personnel in driving the success of the business!

Keywords: Stop Loss & Health Claim Analyst, Health Insurance Claims, Claims Analyst, Stop Loss Policies, Health Claims Process, Insurance Analyst Jobs.