About the Stop Loss Coordinator Role at Robert Half

Robert Half, a global leader in professional services and staffing solutions, is seeking a meticulous and proactive Stop Loss Coordinator to join our dynamic team in Trevose, Pennsylvania. This full-time position is perfect for insurance professionals passionate about streamlining claims processes and ensuring seamless operations in the stop loss insurance sector. As a Stop Loss Coordinator, you will play a pivotal role in managing high-volume claims from submission to resolution, collaborating with finance teams, carriers, and internal stakeholders to drive efficiency and compliance.

In this critical role, you'll oversee the end-to-end lifecycle of stop loss claims, a vital component of employer-sponsored health plans that protect against catastrophic losses. Trevose, PA, offers an ideal location just minutes from Philadelphia, combining suburban tranquility with urban accessibility. With a salary starting at $52,000 annually, this opportunity provides stability, growth, and the chance to advance your career in insurance claims management. If you thrive in fast-paced environments and excel at detail-oriented tasks, this Stop Loss Coordinator position at Robert Half is your next career step.

Why Stop Loss Coordination Matters

Stop loss insurance is essential for businesses managing self-funded health plans. Coordinators like you ensure reimbursements are processed accurately and promptly, minimizing financial risks. Robert Half values professionals who can interpret complex policies, analyze data, and resolve issues efficiently, making this role rewarding for those with a keen eye for detail and strong analytical skills.

Key Responsibilities

The Stop Loss Coordinator will handle a variety of tasks to maintain smooth claims operations. Core duties include:

• Managing the complete lifecycle of stop loss claims, ensuring timely submission, processing, and resolution while upholding accuracy standards.
• Coordinating closely with the Finance department for reimbursement reconciliation and payment tracking to prevent discrepancies.
• Proactively monitoring pending claims and responding swiftly to carrier inquiries for additional documentation or clarification.
• Reviewing and interpreting stop loss policies to verify compliance with all reimbursement guidelines and contractual obligations.
• Maintaining comprehensive, organized records of all claims-related documentation, correspondence, and updates in accordance with company protocols.
• Analyzing claims data trends, investigating carrier denials, and preparing detailed responses to facilitate approvals.
• Delivering regular status reports to management on claim progress, potential bottlenecks, and projected resolution timelines.
• Collaborating with cross-functional teams, including underwriting and benefits administration, to compile necessary information for seamless processing.
• Undertaking ad-hoc projects and additional responsibilities to enhance overall claims management efficiency.

Required Qualifications

To succeed as our Stop Loss Coordinator, candidates should demonstrate:

• A bachelor's degree in Finance, Business, Insurance, or a related discipline (preferred).
• At least 2 years of hands-on experience in claims processing, ideally within stop loss, health insurance, or reinsurance environments.
• Profound knowledge of insurance policies, reimbursement protocols, and regulatory compliance standards.
• Advanced proficiency in Microsoft Excel for data analysis, reporting, and trend identification; familiarity with claims management software is advantageous.
• Exceptional organizational skills with the ability to juggle multiple claims simultaneously under tight deadlines.
• Strong analytical mindset for dissecting complex claims data and resolving denials effectively.
• Superior communication abilities to liaise with carriers, internal teams, and leadership.
• Proven track record of meticulous documentation and record-keeping.
• Adaptability to perform diverse tasks in a collaborative, team-oriented setting.

Robert Half prioritizes candidates with a passion for insurance operations and a commitment to excellence. SEO keywords like 'stop loss coordinator jobs Trevose PA', 'insurance claims specialist Robert Half', and 'health insurance careers Pennsylvania' highlight this opportunity for top talent.

Why Join Us at Robert Half

Joining Robert Half means becoming part of a prestigious firm renowned for innovation in talent solutions. Our Trevose, PA office fosters a supportive culture with comprehensive benefits, including competitive $52,000 salary, health coverage, 401(k) matching, generous PTO, and professional development programs. Enjoy career advancement, flexible hybrid work, performance bonuses, and an employee assistance program. Robert Half invests in your growth, offering training in advanced claims software and leadership opportunities. Contribute to impactful work protecting businesses from financial risks while building a fulfilling career in Trevose, Pennsylvania. Apply today for this Stop Loss Coordinator role and elevate your expertise with a industry leader!