Supporting the timely filing of reimbursement claims, the full-time remote Reinsurance Claims Analyst will manage reinsurance processes, track claims, and collaborate with various departments to ensure accurate documentation and compliance.
Key Responsibilities:
Review and ensure accurate setup of stop loss policies within claims management systems
Collect and verify documentation for stop loss claims, ensuring timely and accurate submissions
Monitor accounts for compliance with reporting requirements and track premium remittances
Required Qualifications:
Experience in medical claims processing, preferably in reinsurance
Familiarity with reinsurance policies and terms such as TLO and Aggregating Specific Deductible
Strong analytical skills with the ability to manage complex data and claims
Intermediate proficiency in Microsoft Office 365, particularly Excel
Highly organized with a keen attention to detail and accuracy