Medical Stop Loss Claims Analyst
Are you a seasoned Medical Stop Loss Claims Analyst looking to join a dynamic and fast-growing team? Our client, a specialized Managing General Underwriter (MGU) focused exclusively on Medical Stop Loss, is expanding their claims department and looking for top-tier talent to join their mission.
About the Company:
Founded in 2018, this MGU has quickly built a reputation for excellence in the Stop Loss space.
They partner with large national carriers, offering innovative solutions in the self-funded reinsurance market.
Their claims team boasts an average reimbursement time of just 4.6 days-a standout metric in the industry.
The Role:
As a Medical Stop Loss Claims Analyst, you'll play a critical role in evaluating and processing self-funded reinsurance claims. You'll work closely with the Director of Stop Loss Claims and collaborate across multiple departments to ensure timely and accurate claims handling.
What They're Looking For:
Strong background in Medical Stop Loss claims-this is a must.
Excellent communication skills-you'll be interfacing with internal teams and external partners.
A detail-oriented mindset and the ability to thrive in a fast-paced, remote environment.
Key Responsibilities:
Analyze and adjudicate complex medical stop loss claims.
Collaborate with underwriting, actuarial, and client services teams.
Ensure compliance with carrier and regulatory requirements.
Maintain high standards of accuracy and timeliness.
Perks & Benefits:
Fully remote-work from anywhere in the U.S.
Full range of benefits including medical, dental, vision, 401(k), and paid time off (PTO).
Join a collaborative, high-performing team.
Be part of a company that values innovation, speed, and integrity.
FAQs
Congratulations, we understand that taking the time to apply is a big step. When you apply, your details go directly to the consultant who is sourcing talent. Due to demand, we may not get back to all applicants that have applied. However, we always keep your CV and details on file so when we see similar roles or see skillsets that drive growth in organisations, we will always reach out to discuss opportunities.
Yes. Even if this role isn’t a perfect match, applying allows us to understand your expertise and ambitions, ensuring you're on our radar for the right opportunity when it arises.
We also work in several ways, firstly we advertise our roles available on our site, however, often due to confidentiality we may not post all. We also work with clients who are more focused on skills and understanding what is required to future-proof their business.
That's why we recommend registering your CV so you can be considered for roles that have yet to be created.
Yes, we help with CV and interview preparation. From customised support on how to optimise your CV to interview preparation and compensation negotiations, we advocate for you throughout your next career move.