Stop Loss Data Specialist

Allied Benefit Systems•Chicago, IL

2d•$20 - $24•Remote

About The Position

The Stop Loss Data Specialist is responsible for auditing and tracking stop loss claim filings, reimbursements, and cash advance claims to ensure the department is running in an efficient and thorough manner. The Analyst also works closely with Stop Loss Claim Specialist on administrative, organizational, and auditing functions.

Requirements

1-2 years of experience in an office environment required.
Excellent organizational skills and attention to detail.
Strong analytical and problem-solving skills.
Excellent verbal and written communication skills.
Proficient with Microsoft Office Suite or related software.
Excellent time management skills with a proven ability to meet deadlines.
Ability to function well in a high-paced and at times stressful environment.

Nice To Haves

Medical claims experience preferred
Accounting or finance background a plus
Experience working with a TPA or other insurance company a plus

Responsibilities

Perform monthly audits to ensure all stop loss claims have been filed and all reimbursements have been received.
Update and manage the stop loss tracking and specific logs to monitor the current status of members over the specific deductible.
Review and accurately record stop loss reimbursements.
Gather and prepare the data required to file Rx stop loss claims.
Request and track Actively at Work forms from Clients
Manage the cash advance process. This includes determining which claims to pull for cash advance and mailing out the appropriate cash advance checks when reimbursements are received.
Other duties as assigned