Stop Loss & Health Claim Analyst
Sun Life(3 months ago)
About this role
The Stop Loss Claims Analyst at Sun Life U.S. oversees adjudication and financial oversight of stop loss insurance claims, ensuring compliance with contractual provisions and plan specifications. The role supports customer service and risk management while coordinating with clinical and professional resources and maintaining regulatory compliance.
Required Skills
- Claims Adjudication
- Contract Interpretation
- Reimbursement
- Documentation Review
- Customer Service
- Case Management
- Medical Records
- Regulatory Knowledge
- Negotiation
- Microsoft Office
Qualifications
- Bachelor's Degree
About Sun Life
sunlife.comSun Life is a financial services company providing financial planning, life insurance, health insurance, investments and more.
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