Stop Loss Coordinator

Remote

Full Time

Mid Level

Job Title: Stop Loss Coordinator

Compensation Expectations: $29.00 - $38.00 DOE

Role Location: Remote

Marpai Administrators (Subsidiary of Marpai Inc. (NASDAQ: MRAI)) is a technology company transforming the Third Party Administration sector serving employers with self-funded health plans. Marpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes.

ABOUT THE POSITION:

The Stop loss Coordinator works with the Stop Loss/Excess of Loss community and IT to investigate issues and resolve problems. The Stop Loss Coordinator works directly with Stop Loss Carriers and MGUs to understand their needs and then collaborates with IT to deliver required reporting. The Stop Loss Coordinator works directly with the Stop Loss Carriers and MGUs to submit all funding/reimbursement requests. This position reports to the Claims Manager.

WHAT YOU WILL BE DOING: 

  Month end Stop Loss reporting
Strong ability to read stop loss contracts
Analyze reports to determine data integrity issues, provide solutions

Release monthly reporting within the company

Develops relationships with Stop Loss Carriers and MGUs that foster trust and collaboration.

Quickly understands existing business issues and data challenges

Runs reports to analyze data and identify anomalies

Suggests areas for improvement in internal processes

Acts as liaison between Stop Loss Carriers and MGUs and the Account management team.

Responsible for ongoing submissions for specific reimbursement, advance funding, and level funding requests.

WHAT DO YOU NEED

Highly organized and capable of focusing on problem details
5+ years of experience with Stop Loss
2+ years of experience with Reinsurance
Strong time management skills and ability to multi-task

Strong written and verbal communication skills

Advanced skills with Microsoft Office products including MS Word, MS Excel or equivalent

Pleasant demeanor when working with others.

Energetic and motivated.

Work with minimum supervision

WORK REQUIREMENTS:

This position is in a typical office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients.

Fast paced, dynamic work environment requiring the ability to be adaptive, innovative and flexible

  WHY WORK AT MARPAI?  

  We have great benefits:

Generous PTO

Medical and Prescription

Health and Wellness Programs

FSA / HSA / Dependent Care

Dental

Vision

Life and Disability

STD/LTD

Voluntary Benefits: Critical Illness, Accident, Hospital

401k with Employer Match

LegalShield

Identity Theft Protection

 Marpai is an equal opportunity workplace.  We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.

Apply for this position

Required*

Apply with Indeed

First Name*

Last Name*

Email Address*

Phone*

Address

Resume*

We've received your resume. Click here to update it.

Attach resume or Paste resume

Attach resume as .pdf, .doc, .docx, .odt, .txt, or .rtf (limit 5MB) or Paste resume

Paste your resume here or Attach resume file

Are you authorized to work in the United States for any employer?*

Will you now or in the future require sponsorship to work in the United States?*

Do you have a Non-Compete, Non-Disclosure, or other agreement that might restrict your employment with us?* YesNo

Are you able to work east coast / eastern time zone hours and, if noted, the specific hours noted on the job description?* YesNo

What state do you reside in, and will work from?*

What is your minimum hourly pay rate requirement?*

The hourly range is $28.00 - $38.00 per hour, DOE. Are your salary requirements within this range?*

How many years of experience do you have in the exact role that you are applying for? List the company(s) from your resume where you in this role in your answer.*

How many years experience do you have in Stop Loss?*

What is a 12/15 contract?*

How do you file an initial stop loss claim?*

Human Check*

Submit Application

Marpai Health

Thanks for visiting our Job Board. Please review our open positions and apply to the positions that match your qualifications.

Stop Loss Coordinator

Apply for this position