Stop Loss Claims Analyst
Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025
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Job Description:
A company is looking for a Stop Loss Claims Analyst.
Key Responsibilities
Process an average of 5 to 7 claims per day with a processing
accuracy of 99% or better
Determine eligibility of claims by applying contractual provisions
to medical facts
Document claim decisions and elevate issues to supervision as
necessary
Required Qualifications
3-5+ years of stop loss claims experience
Prior experience with first dollar payer insurance (medical
healthcare claims)
Familiarity with medical billing practices, CPT codes, and revenue
codes
Ability to use mathematics for claim adjudication
Demonstrated proficiency in Microsoft Office software
Keywords: VirtualVocations, Encinitas , Stop Loss Claims Analyst, Professions , Vista, California
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