If you like numbers, tracking details, and making sure money lands where it should, this role is your sweet spot. As a Stop Loss Data Specialist, you’ll help keep large medical claims and reimbursements in check so clients and members aren’t left hanging.
About Allied Benefit Systems
Allied Benefit Systems is a national healthcare benefits administrator partnering with employers to design and manage flexible, self-funded health plans. The company focuses on smarter plan design, cost control, and strong service for both clients and members. As part of the Operations team, you’ll support the behind-the-scenes financial and claims processes that keep everything running smoothly.
Schedule
- Full-time, fully remote position
- Standard business hours (specific schedule may vary by team)
- Remote-friendly culture designed to support productivity and balance
- Must have reliable cable or fiber internet with minimum speeds of 100 Mbps download / 25 Mbps upload
What You’ll Do
- Perform monthly audits to confirm all stop loss claims have been filed and reimbursements received
- Update and maintain stop loss tracking tools and specific logs to monitor members over specific deductibles
- Review and accurately record stop loss reimbursements in internal systems
- Gather and prepare data needed to file Rx stop loss claims
- Request and track Actively at Work forms from clients
- Manage the cash advance process, including selecting claims for cash advances and mailing checks when reimbursements arrive
- Support the Stop Loss Claim Specialists with administrative, organizational, and auditing tasks
- Handle other related duties as assigned to support the stop loss and operations teams
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 sharp attention to detail
- Strong analytical and problem-solving skills
- Excellent verbal and written communication skills
- Proven time management skills with the ability to meet deadlines
- Comfort functioning in a high-paced, sometimes stressful environment
- Proficiency with Microsoft Office Suite or related software
- Medical claims experience preferred; accounting, finance, TPA, or insurance experience a plus
Benefits
- Competitive hourly pay range of $23.00–$24.00, depending on experience and qualifications
- Comprehensive Total Rewards package
- Medical, Dental, and Vision insurance
- Life and Disability insurance
- Generous Paid Time Off
- Tuition Reimbursement
- Employee Assistance Program (EAP)
- Technology stipend to support your remote work setup
If you’re ready to put your data skills to work in a fully remote, detail-driven role with real impact on claim dollars, this is a solid next move.
Don’t wait on it—roles like this go fast when the right candidates see them.
Happy Hunting,
~Two Chicks…