Stop Loss Data Specialist

Stop Loss Data Specialist – Allied Benefit Systems

Join to apply for the Stop Loss Data Specialist role at Allied Benefit Systems.

$20.00/hr - $24.00/hr

The Stop Loss Data Specialist is responsible for auditing and tracking stop loss claim filings, reimbursements, and cash advance claims to ensure the department is running efficiently and thoroughly. The analyst also works closely with the Stop Loss Claim Specialist on administrative, organizational, and auditing functions.

• Perform monthly audits to ensure all stop loss claims have been filed and all reimbursements have been received.
• Update and manage the stop loss tracking and specific logs to monitor the current status of members over the specific deductible.
• Review and accurately record stop loss reimbursements.
• Gather and prepare the data required to file Rx stop loss claims.
• Request and track Actively at Work forms from clients.
• Manage the cash advance process, including determining which claims to pull for cash advance and mailing out the appropriate cash advance checks when reimbursements are received.
• Other duties as assigned.

• High School diploma or equivalent required.
• Some college or equivalent work experience preferred.

• 1-2 years of experience in an office environment required.
• Excellent organizational skills and attention to detail.
• Strong analytical and problem‑solving skills.
• Excellent verbal and written communication skills.
• Proficient with Microsoft Office Suite or related software.
• Excellent time management skills with a proven ability to meet deadlines.
• Ability to function well in a high‑paced and at times stressful environment.
• Medical claims experience preferred.
• Accounting or finance background a plus.
• Experience working with a TPA or other insurance company a plus.

• Communication
• Customer Focus
• Accountability
• Functional/Technical Job Skills

• This is an office environment requiring extended sitting and computer work.

• Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote‑friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100 Mbps download/25 Mbps upload.

Reliable internet service is essential for staying connected and productive.

Allied reserves the right to amend, change, alter, and revise pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

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