Job Details

A company is looking for a Clinical Operations Specialist, Medical Stop Loss - Remote.Key ResponsibilitiesReceive, track, analyze claims data and clinical information for medical underwriting and cost containment processesSet up referral and review documents accurately using various platforms and systemsGenerate reports for management to monitor department activity and performanceRequired QualificationsBachelor's degree from an accredited college or university requiredEmployer Stop Loss Claims/notification experience preferredAdvanced PC skills including Excel, Word, and SharePoint/OneDriveExperience with medical terminology and claim coding preferredAbility to prioritize and manage workload effectively