Medical Stop Loss Analyst - Insurance Claims


East Brunswick, NJ

Industry: Insurance


Less than 5 years

Posted 266 days ago

  by    Mason Ingling

This job is no longer available.

Track, monitor, and document submission of stop loss claims.


Services and products offered include: general agency services, technology outsourcing, software solutions, specialty underwriting and policyholder services, claims administration services, self-funded health plans, and employment pre-screening services.


*** Track receipt of reimbursements from carriers and transition of reimbursement funds to appropriate employer groups.


*** Identify members who have reached and exceeded specific deductibles.


*** Track all members exceeding deductible on the Reinsurance Tracking Report.


*** Submit filings and documentation to appropriate carriers to substantiate proof of loss to obtain reimbursement for client or advance funding.


*** Record reimbursement from carrier on the Reinsurance Tracking Report and monitor routing of reimbursement back to client.


*** Follow up for additional information, appeals, and similar.


*** Assist with marketing stop loss renewals and new business.


*** Spreadsheet renewal and new business quotes.


*** Maintain knowledge of key policy requirements related to self funded insurance and similar carriers.


Build a career at an extraordinary organization offering an industry competitive compensation package, bonuses, full medical benefits, 401(k) savings plan, comprehensive vacation policies, numerous professional development opportunities, vibrant and growth oriented work environment, and more!


Please reference #37705132 when responding. Education Requirements: Bachelor DegreeMinimum Experience Requirements: 2-5 yearsJob City Location: East BrunswickJob State Location: NJJob Country Location: USA

WE ARE AN EQUAL OPPORTUNITY EMPLOYER and our employment decisions are made without regard to race, color, religion, age, sex, national origin, handicap, disability or marital status. We reasonably accommodate individuals with handicaps, disabilities and bona fide religious beliefs. Jobs Career Position Hiring. CONSIDERED EXPERIENCE INCLUDES: Top 10 Job Site Top 10 Careers Site Accident and Health Medical Stop Loss Underwriting Leader Manager Insurance Benefits Captives Risk Management Group Captive Programs Reinsurance Group Life Insurance Long Term Disability Supervisor Director


DISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application. Indicated location may be proximate or may be desirable point of embarkation for paid or unpaid relocation to another venue. Job descriptions may fit single or multiple presently available or anticipated positions and are NOT an offer of employment or contract implied or otherwise. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers. Linguistics used herein may use First Person Singular and First Person Plural grammatical person construction for and with the meaning of Third Person Singular and Third Person Plural references. We reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. Response to a specific posting or advertisement may result in consideration for other opportunities and not necessarily the incentive or basis of the response. Nothing herein is or may be considered a promise, guarantee, offer, pledge, agreement, contract, or oath.

$80K - $110K