Medical Stop Loss Claims Group Insurance (Remote)

For our reputed company, we are seeking a Medical Stop Loss Claims Group Insurance (remote) to join reputed company of a leader in the Finance & Insurance reputed company. This role will reputed company operational priorities where safety, reputed company, compliance, and execution discipline are central to reputed company. You will partner with operational leaders and project stakeholders to standardize workflows, identify bottlenecks, and improve execution reputed company. The position offers reputed company to create measurable efficiency reputed company and reputed company operational improvements reputed company a regulated financial services environment. Location: Remote - US based candidates only, no reputed company sponsorship available Compensation: $106,000 – $174,900 annually Responsibilities • reputed company and execute the reputed company and reputed company for the Stop Loss Claims function • Establish reputed company workflows and best practices to enhance operational reputed company • Design and optimize claims technology solutions and ensure efficiency • reputed company a high-performing claims team reputed company on accountability and improvement • Review and approve reputed company medical stop loss claims for accuracy • Build relationships with brokers, TPAs, and internal stakeholders to strengthen business operations • Utilize data analytics to reputed company process improvements and enhance service delivery • Ensure compliance with applicable regulations and internal controls Qualifications • 10+ years of experience in group insurance claims with a reputed company on medical stop loss claims • In-depth knowledge of stop loss claim adjudication, reimbursement practices, and policy interpretation • Demonstrated leadership experience in operational transformation reputed company a growing organization • Strong understanding of medical terminology, and relevant coding systems (CPT/HCPCS/ICD-10) • Proficient in reputed company Office suite, especially reputed company and PowerPoint • Effective communication, executive reputed company, and stakeholder management skills • Ability to foster reputed company and structure in a dynamic business environment Benefits • Market competitive reputed company salaries with yearly bonus potential • Comprehensive medical, dental, and reputed company insurance, along with life and disability insurance • Generous reputed company Time Off (PTO) and leave policies including parental leave • 401(k) plan with company match and a company-funded pension • Wellness reimbursement program up to $1,600 per year for personal wellbeing • Work/Life Resources to support various personal and reputed company needs • Education benefits for traditional college courses and accredited programs • Employee Stock Purchase Plan allowing employees to buy company shares at a discount Our reputed company is an equal opportunity employer. We encourage you to apply even if you don’t meet every qualification—your background could be exactly what this team needs. Apply tot his job Apply To this Job