Stop Loss & Health Claim Analyst at Sun Life · United States · Joined
SL
Stop Loss & Health Claim Analyst
Sun Life · United States · Just now · 0 applicants
NewRemoteFull-timeMiddle
Pay
$54k–$81kListed
Workplace
Remote
Job type
Full-time
Level
Middle
Source: jobright · Posted by joined-scrapper
About the role
Sun Life is hiring a Stop Loss & Health Claim Analyst to review claims, interpret contracts, and determine reimbursement or denial while managing financial risk and providing customer service.
What you’ll do
Review claims and interpret contracts
Determine reimbursement or denial based on claim documentation and medical facts
Manage assigned claims
Coordinate cost-containment initiatives
Provide customer service
Manage financial risk
What you’ll need
3-5 years of medical claims or stop loss processing experience
Team collaboration and communication skills
Negotiation, persuasion, and underwriting abilities
Ability to work in fast-paced environment
Healthcare industry knowledge
Microsoft Office proficiency
Original job description
Sun Life Financial (U.S.) Services Company, Inc. is hiring a Stop Loss & Health Claim Analyst to review claims, interpret contracts, and determine reimbursement or denial based on claim documentation and medical facts. The role also manages assigned claims, coordinates cost-containment initiatives, and provides customer service while managing financial…