Position Details
About this role
This role involves managing stop loss claims, interpreting reinsurance policies, and ensuring claims are processed accurately and efficiently within compliance standards.
Key Responsibilities
- Process claims to excess carriers
- Maintain claim files
- Review claim reports
- Collaborate with carriers
- Ensure compliance
Technical Overview
Focus on claims examination, reinsurance, policy interpretation, and claims system management, with proficiency in Microsoft Office and claims data handling.
Ideal Candidate
The ideal candidate is a claims examiner with at least 3 years of experience in stop loss and reinsurance, possessing strong knowledge of claims processing, policy interpretation, and excellent communication skills for client interactions.
Must-Have Skills
Nice-to-Have Skills
Tools & Platforms
Required Skills
Hard Skills
Soft Skills
Industry & Role
Keywords for Your Resume
Deal Breakers
Less than 3 years of claims experience, Lack of reinsurance knowledge, Inability to interpret policies including lasers, No claims system experience
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