Work from home in a numbers-driven role that actually matters to the bottom line. As a Stop Loss Data Specialist, you’ll be the person making sure big dollar claims are filed, tracked, and reimbursed correctly so plans stay protected and claims stay on track.
About Allied Benefit Systems
Allied Benefit Systems is a Chicago-based third-party administrator that partners with employers nationwide to design and manage self-funded health plans. The company focuses on flexible, cost-effective benefit solutions backed by smart operations, data, and strong client service. Allied runs a remote-friendly culture where organized, detail-oriented people can thrive from anywhere.
Schedule
Full-time, fully remote role based out of Chicago, Illinois.
Standard weekday business hours in a computer-based/home office environment.
Requires reliable high-speed internet via cable or fiber (minimum 100 Mbps download / 25 Mbps upload) to support file work and system access.
What You’ll Do
- Perform monthly audits to confirm all stop loss claims have been filed and all reimbursements have been received.
- Update and manage stop loss tracking tools and specific logs to monitor members over the specific deductible.
- Review, record, and reconcile stop loss reimbursements with accuracy and clarity.
- Gather and prepare data required to file Rx stop loss claims.
- Request and track Actively at Work forms from clients.
- Manage the cash advance process, including identifying claims for cash advance and mailing cash advance checks once reimbursements are received.
- Work closely with Stop Loss Claim Specialists on administrative, organizational, and auditing tasks.
- Handle assorted operational duties as assigned to keep the stop loss department running efficiently.
What You Need
- High school diploma or equivalent (some college or equivalent work experience preferred).
- 1–2 years of experience in an office environment.
- Strong organizational skills and meticulous attention to detail.
- Solid analytical and problem-solving skills.
- Clear verbal and written communication skills.
- Proficiency with Microsoft Office Suite or similar software.
- Strong time management skills and a proven ability to meet deadlines.
- Ability to function well in a fast-paced, sometimes high-pressure environment.
- Preferred: Medical claims experience, accounting or finance background, and/or experience with a TPA or other insurance company.
Benefits
- Hourly pay in the range of $23.00–$24.00, depending on experience and qualifications.
- Fully remote work with a supportive, remote-friendly culture.
- Medical, Dental, Vision, Life, and Disability insurance.
- Generous Paid Time Off.
- Tuition Reimbursement and Employee Assistance Program (EAP).
- Technology stipend to support your home office setup.
If you’re detail-obsessed, steady under deadlines, and ready to own a high-impact operational role from home, this deserves a spot at the top of your list.
Lock in a remote position where your accuracy and follow-through directly protect clients and their plans.
Happy Hunting,
~Two Chicks…