Description We are looking for a highly organized and detail-oriented Stop Loss Coordinator to oversee and streamline the claims process for stop loss insurance. This role involves managing claims from submission to resolution, ensuring compliance with policies and timely reimbursements. The ideal candidate will collaborate with internal teams and carriers to maintain accurate documentation and provide updates on claims progress. Responsibilities: • Manage the complete lifecycle of stop loss claims, from submission to resolution, ensuring timely and accurate processing. • Coordinate with the Finance department to reconcile reimbursements and payments effectively. • Monitor pending claims submissions and promptly respond to carrier requests for additional information. • Review and interpret stop loss policies to confirm compliance with reimbursement and claims requirements. • Maintain thorough and organized records of claims documentation and correspondence following company procedures. • Analyze claims data and address carrier denials or requests for further clarification. • Provide regular updates to management regarding claim statuses, pending issues, and expected resolution timelines. • Collaborate with internal teams to gather necessary information for claims processing. • Perform additional duties as assigned to support the overall claims management process. Requirements • Minimum of 2 years of experience in stop loss claims processing or a related field. • Proficiency in handling insurance reimbursement and account reconciliation. • Strong knowledge of stop loss policies and claims procedures. • Exceptional organizational skills to maintain accurate and detailed documentation. • Ability to analyze data and address carrier requests or denials effectively. • Excellent communication skills for coordinating with internal teams and external carriers. • Familiarity with industry-specific regulations and compliance standards. • Capability to work independently and manage multiple tasks efficiently. Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) and Privacy Notice (https://www.roberthalf.com/us/en/privacy) .