Senior Claim Benefit Specialist - Stop Loss (Hybrid)

Welcome to Aetna, where we strive to make a difference in the lives of our customers by providing exceptional healthcare solutions. As a Senior Claim Benefit Specialist - Stop Loss (Hybrid), you will play a critical role in our mission by utilizing your expertise in stop loss claims to ensure accurate and timely processing. We are seeking a highly skilled individual who is dedicated to delivering top-notch customer service and has a strong understanding of the healthcare industry. If you are a self-motivated professional with a passion for helping others, we invite you to join our dynamic team.

1. Process Stop Loss Claims: The Senior Claim Benefit Specialist will be responsible for processing stop loss claims accurately and efficiently.
2. Ensure Timely Processing: The Specialist must ensure that all stop loss claims are processed in a timely manner to meet company standards.
3. Utilize Expertise: The Specialist should have in-depth knowledge and understanding of stop loss claims and use their expertise to ensure accurate processing.
4. Provide Exceptional Customer Service: The Specialist must prioritize customer service and be dedicated to providing exceptional service to our customers.
5. Understand Healthcare Industry: It is crucial for the Specialist to have a strong understanding of the healthcare industry and stay updated on industry changes and regulations.
6. Collaborate with Team: The Specialist will work closely with other team members to resolve any issues or discrepancies in stop loss claims processing.
7. Maintain Accuracy: The Specialist must maintain a high level of accuracy in processing stop loss claims to avoid any errors or discrepancies.
8. Analyze Data: The Specialist will be responsible for analyzing stop loss claims data and identifying any trends or patterns to improve processes.
9. Communicate with Stakeholders: The Specialist will communicate with internal and external stakeholders to provide updates on stop loss claims and address any concerns.
10. Stay Organized: The Specialist must stay organized and keep accurate records of all stop loss claims processed.
11. Adhere to Company Policies: The Specialist must adhere to company policies and procedures related to stop loss claims processing.
12. Train and Mentor Junior Specialists: The Senior Claim Benefit Specialist will be responsible for training and mentoring junior specialists to ensure their professional development.

According to JobzMall, the average salary range for a Senior Claim Benefit Specialist - Stop Loss (Hybrid) in Plymouth, MN, USA is between $75,000 and $90,000 per year. This may vary depending on the specific company, experience level, and other factors.

Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare. Since November 28, 2018, the company has been a subsidiary of CVS Health.