The Reinsurance Specialist manages all aspects of stop‑loss and reinsurance claim processing, including filing, tracking, and reconciling reimbursements. This role ensures timely and accurate submissions, oversees key analytical tools, and communicates necessary updates to internal teams, clients, and brokers through a dedicated reinsurance communication channel.

What can the Reinsurance Specialist expect?

  • Manage the full lifecycle of stop-loss and reinsurance claims, including preparation, submission, tracking, and reconciliation of reimbursements.
  • Ensure timely and accurate claim processing in compliance with carrier guidelines, including review through final payment.
  • Maintain and utilize reinsurance tools and systems to track claims activity, monitor outstanding items, and support reporting needs.
  • Serve as the primary point of contact for reinsurance communications, coordinating with internal teams, clients, and brokers.
  • Analyze claim activity and processes to identify trends, ensure quality, and recommend improvements for efficiency and accuracy.

What would the ideal candidate possess?

  • Two-year degree or higher
  • Healthcare or stop loss (reinsurance) experience preferred, but not required
  • Self-starter who can work autonomously while effectively collaborating with teammates
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