What are the responsibilities and job description for the STOP LOSS ANALYST position at Bc&l Inc?
Job Responsibilities
This position works as part of the Stop Loss Team to ensure timely reporting and stop loss claim filing with the various stop loss carriers.
- Monitors members approaching/exceeding spec, including policies with advance funding.
- Monitors clients approaching/exceeding aggregate, including policies with accommodation.
- Generates various reporting and reviews for accuracy before distribution, both internally and externally, as assigned.
- Gathers supporting documentation from both internal and external entities.
- Compiles stop loss claim filings, to include all supporting information/documentation, and submits to the stop loss carrier to maximize reimbursement.
- Manages filings, through reimbursement, to include consideration of policy filing limitations.
- Communicates regularly with various departments, external vendors, clients, and carriers.
- Validates filing denials and appeals when necessary, to ensure our clients are receiving the maximum reimbursement allowed under the policy.
