Stop Loss Specialist-remote with onsite training

Full Time
Austin, TX 78729
Posted
Job description

Company Overview

Boon-Chapman is not your average Third Party Administrator. In addition to traditional TPA services, Boon-Chapman administers business process outsourcing for insurance entities, and other services through its sister companies. With nearly 55 years in business, Boon-Chapman combines the legacy of a family-owned-and-operated company, with the energy and potential of a fast-growing enterprise of companies. A few of our benefits include:

  • Paid holidays & competitive PTO that increases with tenure
  • Full benefits package including healthcare, dental, vision, paid STD & life
  • Casual everyday dress
  • Work from home opportunities
  • Unlimited opportunities for growth – success is in your own hands

Job Overview

This position works with the Stop Loss Supervisor to ensure timely filing of stop loss claims and reporting to the stop loss carriers.
  • Prepares paid claim reports, explanation of benefit forms and copies of bills for a participant who has penetrated the specific deductible for each group.
  • Compiles stop loss claims for filing.
  • Communicates with stop loss carriers.
  • Communicates with the claim departments and UR/Pre-Cert vendors.
  • Submits monthly reporting to the stop loss carriers.


Experience and Education

  • Experience in claim processing and plan document language is preferred.
  • High school diploma or equivalent.
  • Experience in general office work and computer software.
  • Organizational skills essential and able to finish work assigned.
  • Microsoft Outlook, Word and Excel
  • Time management skills to adhere to deadlines

  • Have the ability to adapt in a changing environment.

  • High school diploma or equivalent.

Knowledge, Skills and Abilities

  • Knowledge of business correspondence, filing, and general office procedures.
  • Skill in interpersonal and written communication.

  • Ability to maintain regular attendance.

  • Ability to maintain confidentiality of material and information.

  • Ability to maintain professional appearance and demeanor


  • Ensure timely claims filing/payments for designated claims.


  • Ability to work independently and maintain workflow with minimal supervision and demonstrate problem-solving and decision-making skills

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