Stop Loss Filing Coordinator
Core
Manage the end-to-end stop loss claims process, serving as a liaison between internal stakeholders, clients, and stop loss carriers.
Role type
Stop Loss Filing Coordinator
Builds
Accurate stop-loss claim submissions and monthly financial data reports
Domain
Health insurance / Third-party administration (TPA)
Deliverable
client delivery
Required skills
Stop-loss claims management, policy interpretation, data reconciliation, financial reporting, process improvement
Preferred skills
Experience with stop-loss MGUs or carriers
Technologies
Microsoft Excel
Responsibilities
Prepare and submit stop-loss claims with eligibility verification; Coordinate with internal teams, clients, and carriers; Maintain precise records of claims activity; Provide regular updates on claim status; Review and analyze stop-loss policies and plan documents; Generate monthly financial data reports; Identify opportunities to streamline filing processes; Participate in internal audits.
Seniority
Individual Contributor