M

Stop Loss Associate

icon building Company : Marpai Health
icon briefcase Job Type : Full Time
icon geo-alt Tampa, Fl

Job Description - Stop Loss Associate

Job Title: Stop Loss Associate                     
Compensation Expectations: $19.00-$22.00 DOE
Role Location: Remote

Marpai Administrators (Subsidiary of Marpai Inc.) is a technology company transforming the Third Party Administration sector serving employers with self-funded health plans. Marpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes.

ABOUT THE POSITION:
We are adding to our Stop Loss Team!  The Stop Loss Associate reports to the Director of Claims and is responsible for reviewing claims for completeness, working with the stop loss team to investigate issues and resolve problems.


WHAT YOU WILL BE DOING: 
 Validate the information on all claims to ensure there is no missing or incomplete information
  • Analyze data reports to identify integrity issues and propose effective solutions.
  • Generate and review reports to assess data accuracy and identify anomalies.
  • Demonstrate professionalism, composure, and the ability to perform effectively under pressure.
  • Adapt to shifting priorities and adjust work direction as directed by management.
  • Stay informed on industry trends and developments to maintain expertise and serve as a subject matter expert.
  • Other duties as required

WHAT SUCCESS LOOKS LIKE
  • Secure client renewals by ensuring accurate claims processing and timely reimbursement.
  • Consistently meet departmental standards for quality, productivity, and attendance.
  • Adhere to deadlines established by Stop Loss Carriers.
  • Cultivate and maintain strong relationships with Stop Loss Carriers and internal teams.

WHAT DO YOU NEED
  • Expansive knowledge of medical terminology.
  • Highly organized and capable of focusing on problem details
  • High proficiency in MS Office Suite of products
  • Flexible working hours. 
  • 2+ years in claim processing
  • Advanced skills with Microsoft Office products including MS Word, MS Excel or equivalent
  • HIPAA Compliance
  • Ability to handle large volumes of work, solve problems and manage multiple assignments while meeting critical deadlines.
  • Work with minimum supervision
WORK REQUIREMENTS:
  • Remote
  • Fast paced, dynamic work environment requiring the ability to be adaptive, innovative and flexible

WHY WORK AT MARPAI?  
 We have great benefits:
  • Generous PTO
  • Medical and Prescription 
  • Health and Wellness Programs 
  • EAP
  • FSA / HSA / Dependent Care
  • Dental 
  • Vision 
  • Life and Disability 
  • STD/LTD
  • Voluntary Benefits: Critical Illness, Accident, Hospital
  • 401k with Employer Match 
  • Pet Insurance 
  • LegalShield
  • Identity Theft Protection
Marpai is an equal opportunity workplace.  We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.
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