Stop Loss Coordinator

The Stop-Loss Coordinator is responsible for submitting stoploss claims for high-cost claims and plans to the various carriers.

Duties/Responsibilities:

• Track reimbursement claims and support finance for accurate payment reconciliation.
• Manage the monthly stop loss ending process to include notification to appropriate interdepartmental teams, clients and/or brokers.
• Monitor and track total reimbursement dollars for clients and prepare reporting for internal and external customers.
• Prepare and submit claims for advance funding and/or reimbursement to the stop loss carrier.
• Research individual claim disputes and provide resolution.
• Interact with large case management and providers to secure patient prognosis and treatment plans.
• Interact with Account Managers to discuss opportunities to avert risk.
• Manage stop loss claims process: responsible for the entire stop loss claims process, from initial submission to final resolution, to ensure timely and accurate processing.
• Review reimbursements and coordinate with the Finance team for accurate payment reconciliation.
• Monitor pending submissions of stoploss claims and respond timely to carrier requests for additional information.
• Review and analyze stop loss policies to ensure understanding of the claims and reimbursement requirements by Carrier.
• Maintain documentation:
  Keep detailed and organized records of all stop loss claims, including supporting documentation and correspondence in accordance with Company policies and procedures.
• Analyze claims data and Carrier denials/requests for further information.
• Provide regular updates to Management regarding claim status, pending issues, and resolution timelines.
• Coordinate with internal teams when information is needed.
• Other duties as assigned.

Required Skills/Abilities:

• Knowledge of stop loss insurance.
• Strong organizational skills.
• Strong sense of professionalism and personal accountability.
• Working knowledge of Microsoft Office, particularly Excel.
• Alignment with our core values of optimism, respect, intelligence, adaptability, building long-term relationships.

Education and Experience:

• Minimum of 2 years of claims experience.
• Experience with administering self-insured health plans.

Physical Requirements:

Prolonged periods of sitting at a desk and working on a computer.

Located in Feasterville-Trevose, PA, 19053

We look forward to receiving your application!
Please send an email to  and include a letter of interest and resume.