Stop Loss Claims Specialist I-Aggregate

Responsibilities Compile and submit claim reports and necessary documentation to file stop loss claims Monitor claim status and follow up with stop loss carriers Appeal denials or reduction of reimbursements by stop loss carriers Audit aggregate positions and track funding balance Communicate with internal departments to resolve claim issues Manage time to file aggregate accommodation, level funded, and final claim submissions Requirements High School diploma or equivalent required 1 to 2 years of claims experience in a self funded environment Thorough knowledge of Stop Loss terminologies and concepts Ability to interpret Stop Loss contracts and Client summary Plan Descriptions (SPD) Proficient with Microsoft Office Suite, specifically Microsoft Excel Strong analytical and problem solving skills About the Company Allied offers a remote-friendly culture that provides flexibility and comfort while ensuring employees are set up for success.