What are the responsibilities and job description for the Senior Claims Auditor - Stop Loss position at Cherry Hill Free Clinic?
Summary: This role involves auditing and authorizing reimbursements for medical stop loss claims, aiming to mitigate client claims and deliver excellent customer service.
Responsibilities Include
Benefits include: Health, dental, vision coverage, 401(k) with match, life insurance, PTO, education assistance, discounts, and wellness amenities.
Additional info: Emphasizes diversity, equal opportunity employment, and accommodations for individuals with disabilities. Compensation varies based on experience and location.
Responsibilities Include
- Analyzing and adjudicating stop loss claims, requesting reimbursements, and recognizing cost mitigation opportunities.
- Initiating claims investigations, interpreting plan language, and identifying subrogation opportunities.
- Communicating effectively with carriers, vendors, and management, providing full claims service.
- Generating reports to monitor claims, reserves, and premium histories.
- Developing and reviewing claim forms, and assisting with internal audits and training.
- Associate's degree or equivalent with 2 years of relevant work experience.
- Minimum of 6 years in managed care or reinsurance claims.
Benefits include: Health, dental, vision coverage, 401(k) with match, life insurance, PTO, education assistance, discounts, and wellness amenities.
Additional info: Emphasizes diversity, equal opportunity employment, and accommodations for individuals with disabilities. Compensation varies based on experience and location.