Talent.com
Stop Loss Claims Coordinator

Stop Loss Claims Coordinator

VirtualVocationsFremont, California, United States
1 day ago
Job type
  • Full-time
Job description

A company is looking for a Stop Loss Filing Coordinator to manage the end-to-end stop loss claims process.

Key Responsibilities :

Prepare and submit stop-loss claims and supporting documentation

Act as the primary point of contact between internal teams and stop-loss carriers

Review and analyze stop-loss policies and generate financial data reports

Qualifications :

Experience in healthcare, insurance, or TPA settings, particularly in stop-loss claims

Proficiency in Microsoft Office Suite, especially Excel

Ability to interpret complex policy language and reconcile information

A proactive mindset with a commitment to process improvement

Prior experience with stop-loss MGUs or carriers is a plus

Create a job alert for this search

Coordinator • Fremont, California, United States

Related jobs
  • Promoted
General Liability Associate

General Liability Associate

Wilson Elser - AttorneysSan Francisco, CA, US
Full-time
Founded in 1978, we rank among the top 100 law firms identified by The American Lawyer and 36 in the National Law Journal's survey of the nation's largest law firms.We're also Mansfield...Show moreLast updated: 30+ days ago
  • Promoted
New York Licensed Claims Examiner

New York Licensed Claims Examiner

VirtualVocationsSan Francisco, California, United States
Full-time
A company is looking for a Senior Claims Examiner I.Key Responsibilities Investigates and evaluates insurance claims through contact with involved parties Negotiates claims effectively to achiev...Show moreLast updated: 30+ days ago
  • Promoted
Insurance Senior Specialist

Insurance Senior Specialist

VirtualVocationsFremont, California, United States
Full-time
A company is looking for an Insurance Sr.Specialist to manage complex accounts and support team operations remotely.Key Responsibilities Resolve complex accounts and act as a subject matter exper...Show moreLast updated: 2 days ago
  • Promoted
California Licensed Claims Specialist

California Licensed Claims Specialist

VirtualVocationsSan Francisco, California, United States
Full-time
A company is looking for a Claims Specialist (PAWP).Key Responsibilities Adjust claims for assigned PAWP programs Build and maintain relationships with internal and external customers Investiga...Show moreLast updated: 30+ days ago
  • Promoted
California Licensed Claims Examiner

California Licensed Claims Examiner

VirtualVocationsSanta Clara, California, United States
Full-time
A company is looking for a Workers Compensation Claims Examiner III (Temporary).Key Responsibilities Manage a caseload of 150 to 180 workers' compensation files, including complex claims Conduct...Show moreLast updated: 30+ days ago
  • Promoted
Licensed Claims Adjuster

Licensed Claims Adjuster

VirtualVocationsSan Francisco, California, United States
Full-time
A company is looking for a Claims Adjuster to manage and resolve claims effectively.Key Responsibilities Analyze claims exposure and execute decision-making to resolve claims Interact with vario...Show moreLast updated: 30+ days ago
  • Promoted
Michigan Licensed Insurance Specialist

Michigan Licensed Insurance Specialist

VirtualVocationsFremont, California, United States
Full-time
A company is looking for an Insurance Specialist to work remotely in Michigan.Key Responsibilities Identify and verify the accuracy of financial, insurance, and demographic information for patien...Show moreLast updated: 28 days ago
  • Promoted
Insurance Specialist - Michigan Licensed

Insurance Specialist - Michigan Licensed

VirtualVocationsHayward, California, United States
Full-time
A company is looking for an Insurance Specialist to manage financial and insurance information for patients.Key Responsibilities Verify the accuracy and completeness of financial and insurance in...Show moreLast updated: 2 days ago
  • Promoted
Clearance Specialist

Clearance Specialist

VirtualVocationsConcord, California, United States
Full-time
A company is looking for a Clearance Specialist to support their Specialty Infusion Pharmacy remotely.Key Responsibilities Process new referrals, including verifying patient eligibility and coord...Show moreLast updated: 30+ days ago
  • Promoted
Claims Adjuster

Claims Adjuster

VirtualVocationsSan Francisco, California, United States
Full-time
A company is looking for a Workers' Compensation Claims Representative.Key Responsibilities Determine compensability and coverage issues for loss time workers' compensation claims Effectively ma...Show moreLast updated: 30+ days ago
  • Promoted
Denials Specialist

Denials Specialist

VirtualVocationsSan Francisco, California, United States
Full-time
A company is looking for a Denials Specialist - REMOTE.Key Responsibilities Validate denial reasons and ensure accurate coding in DCM, coordinating with the Clinical Resource Center as needed Ge...Show moreLast updated: 30+ days ago
  • Promoted
California Licensed Senior Claims Adjuster

California Licensed Senior Claims Adjuster

VirtualVocationsHayward, California, United States
Full-time
A company is looking for a Senior Claims Adjuster Workers Compensation.Key Responsibilities Manage claims by analyzing exposure, planning actions, and resolving claims effectively Communicate ex...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Pennsylvania Licensed Insurance Specialist

Pennsylvania Licensed Insurance Specialist

VirtualVocationsSan Jose, California, United States
Full-time
A company is looking for an Insurance Enrollment Specialist.Key Responsibilities Maintains knowledge of the IntelliApp database and creates customized reports for insurance enrollment Maximizes ...Show moreLast updated: 21 hours ago
  • Promoted
Medicare Claims Specialist

Medicare Claims Specialist

VirtualVocationsSanta Clara, California, United States
Full-time
A company is looking for a Medicare Specialist to manage and resolve aged medical claims for hospital or physician groups. Key Responsibilities Resolve cash generating accounts and review Medicare...Show moreLast updated: 30+ days ago
  • Promoted
Insurance Specialist

Insurance Specialist

VirtualVocationsSan Francisco, California, United States
Full-time
A company is looking for an Insurance Sr.Specialist to manage complex accounts and support team operations remotely.Key Responsibilities Resolve complex accounts and act as a subject matter resou...Show moreLast updated: 30+ days ago
  • Promoted
Claims Specialist

Claims Specialist

VirtualVocationsFremont, California, United States
Full-time
A company is looking for a Claims Specialist to manage complex claims and ensure timely resolution.Key Responsibilities Manage a large inventory of complex claims to evaluate compensability and l...Show moreLast updated: 30+ days ago
  • Promoted
Claims Examiner

Claims Examiner

VirtualVocationsSanta Clara, California, United States
Full-time
A company is looking for a Claims Examiner I.Key Responsibilities Process and adjudicate healthcare claims including medical, dental, vision, and mental health claims Conduct claims investigatio...Show moreLast updated: 30+ days ago
  • Promoted
Senior Claims Examiner

Senior Claims Examiner

VirtualVocationsSan Jose, California, United States
Full-time
A company is looking for a Senior Claims Examiner to adjudicate complex life insurance claims.Key Responsibilities Lead the adjudication of complex or contested life insurance claims Conduct tho...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Stop Loss Claims Examiner

Stop Loss Claims Examiner

VirtualVocationsSan Francisco, California, United States
Full-time
A company is looking for a Stop Loss Examiner.Key Responsibilities Manage a block of business and audit Stop Loss claims according to policy provisions Adjudicate claim reimbursements within spe...Show moreLast updated: 13 hours ago
  • Promoted
Title Express Auditor

Title Express Auditor

VirtualVocationsHayward, California, United States
Full-time
A company is looking for a Title Express Auditor.Key Responsibilities Perform comprehensive audits of open and closed assignments from various TE teams Conduct full-lot reviews, including call a...Show moreLast updated: 2 days ago