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 Apply tot his job Apply To this Job