The Stop Loss Claims Analyst plays a critical role within a Managing General Underwriter (MGU), serving as the liaison between carriers, TPAs, brokers, and employer groups
Job Summary
The Stop Loss Claims Analyst plays a critical role within a Managing General Underwriter (MGU), serving as the liaison between carriers, TPAs, brokers, and employer groups.
This position is responsible for the detailed review, analysis, and adjudication of specific and aggregate stop loss claims in accordance with issued policy terms and carrier guidelines.
Acrisure offers a comprehensive suite of benefits and perks designed to support every dimension of your life, from your health and finances to your family and future.
Matching Summary
The Stop Loss Claims Analyst plays a critical role within a Managing General Underwriter (MGU), serving as the liaison between carriers, TPAs, brokers, and employer groups.
Skills & Requirements
Must-have
Review and adjudicate stop loss claims
Interpret complex stop loss contracts
Analyze claimant reports and paid claims data
Communicate claim determinations clearly
Collaborate with underwriting and carrier partners
Nice-to-have
Entrepreneurial spirit
Cutting-edge technology
Top-tier human support
Community building
Making a lasting impact
Key Requirements
3+ years of stop loss claims experience
Strong understanding of self-funded health plans
Proven ability to interpret complex contract language
Experience working directly with brokers, TPAs, and carriers
Advanced proficiency in Microsoft Excel
Exceptional written and verbal communication skills