Allied Benefit Systems ยท 14 hours ago
Stop Loss Data Specialist
United States
Full-time
Remote
Entry Level
$20/hr - $24/hr
1+ years expAllied Benefit Systems is a company that values remote work flexibility and offers a supportive culture. The Stop Loss Data Specialist is responsible for auditing and tracking stop loss claim filings and reimbursements, ensuring the department operates efficiently while collaborating with the Stop Loss Claim Specialist on various administrative tasks.
Health CareInsuranceWellness
Responsibilities
Perform monthly audits to ensure all stop loss claims have been filed and all reimbursements have been received
Update and manage the stop loss tracking and specific logs to monitor the current status of members over the specific deductible
Review and accurately record stop loss reimbursements
Gather and prepare the data required to file Rx stop loss claims
Request and track Actively at Work forms from Clients
Manage the cash advance process. This includes determining which claims to pull for cash advance and mailing out the appropriate cash advance checks when reimbursements are received
Other duties as assigned
Qualification
Required
High School diploma or equivalent required
1-2 years of experience in an office environment required
Excellent organizational skills and attention to detail
Strong analytical and problem-solving skills
Excellent verbal and written communication skills
Proficient with Microsoft Office Suite or related software
Excellent time management skills with a proven ability to meet deadlines
Ability to function well in a high-paced and at times stressful environment
Preferred
Some college or equivalent work experience preferred
Medical claims experience preferred
Accounting or finance background a plus
Experience working with a TPA or other insurance company a plus
Benefits
Medical
Dental
Vision
Life & Disability Insurance
Generous Paid Time Off
Tuition Reimbursement
EAP
Technology Stipend
Company
Allied Benefit Systems
Allied offers insurance products, self-insurance solutions, custom insurance and healthcare solutions to the individuals and organizations.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Stone Point Capital
2021-02-18Private Equity
Leadership Team
D
Dina H. Tank
Senior Vice President of Sales, Western Region
Recent News
2025-06-04
2025-06-03
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