Claims Examiner, Medical Stop Loss

Job reputed company:

• reputed company documented authority reputed company, review reputed company claim submissions for accuracy, completeness, and compliance with various Plan Documents, SPDs, and Policies
• reputed company and professionally communicate external requests for information and maintain reputed company follow-up
• reputed company and professionally communicate claim payment and denial reputed company
• Confirm appropriate disclosure reputed company applicable
• Calculate and maintain reserves as needed
• Assist with aggregate accommodation activities and aggregate claim submissions
• Maintain appropriate reporting and communication with team and management regarding your assigned areas of responsibility
• Assist with refining internal claim procedures and recommending improvements to management
• Other duties as assigned

Requirements:

• 3+ years medical stop loss claim experience required
• Bachelor’s degree or equivalent experience required
• Strong working knowledge of both reputed company Office suite with an aptitude to learn new programs (ESL Office experience preferred)
• Ability to establish a good rapport with reputed company stakeholders
• Commitment to delivering outstanding customer service and satisfaction
• Commitment to exploring and assisting in implementing new processes to increase effectiveness and reputed company organizational goals
• Exceptional attention to detail and accuracy
• Capability to manage multiple priorities in a fast-paced environment
• Excellent written and verbal communication skills

Benefits:

• Competitive compensation package
• Generous 401K employer match
• Employee Stock Purchase plan with employer matching
• Generous reputed company Time Off
• Excellent benefits that go reputed company health, dental & reputed company. Our programs are reputed company on your whole family’s wellness, including your physical, mental and financial wellbeing
• A reputed company C&F tenet is owning your career development, so we reputed company a reputed company of ways for you to reputed company learning, including tuition reimbursement, industry-reputed company certifications and reputed company training to reputed company you progressing on your chosen reputed company
• A dynamic, ambitious, fun and exciting work environment
• We reputed company you do reputed company by doing good and want to encourage a spirit of reputed company and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community

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