Stop Loss Coordinator Job at Robert Half (Feasterville-Trevose)

Health Claims Stop Loss Specialist

We're seeking a detail-oriented professional who can support the coordination an...

Location

United States

Salary:

19.00 - 22.00 USD / Hour

Personify Health

Expiration Date

Until further notice

Requirements

High school diploma or general education degree (GED) required
Minimum 3 years related experience and/or training, or equivalent combination of education and experience
Completion of training programs through HIPAA, ICA and/or LOMA, and continuing education courses relative to Stop Loss preferred
Knowledge of medical terminology, CPT, HCPCS, and ICD-10 codes
Computer literacy with proficiency in Windows and Microsoft Office environment (Word, Excel, Outlook)
Knowledge of insurance database systems preferred
Experience with EDOCS platform or similar documentation management systems
Detail-oriented, analytical, financially minded approach to Stop Loss coordination
Ability to read, analyze, and interpret common financial reports and legal documents
Capability to work with mathematical concepts such as probability and statistical inference

Job Responsibility

Prepare Stop Loss submissions: Analyze Stop Loss claims and applicable documents to determine filing eligibility under Excess Loss Policy while processing all submissions within established timeframes
Coordinate funding requests: Manage Advanced Funding Requests with clients and Stop Loss carriers while maintaining comprehensive database of all specific reimbursement requests
Manage documentation systems: Create initial Specific File for each claimant and file all submissions in EDOCS platform while coordinating release of Over Specific, System Hold claims
Serve as liaison: Act as connection point between PBMs and internal clients for Stop Loss claimants while maintaining professional communication with all stakeholders
Monitor reimbursements: Track all reinsurance requests to ensure receipt of reimbursement while generating weekly outstanding reimbursement reports and following up with carriers
Support plan year activities: Assist with Plan Year End Closeouts while keeping immediate supervisor apprised of open or disputed items requiring attention
Maintain workflow excellence: Contribute to daily workflow with regular, punctual attendance while performing related or assigned duties as required

What we offer

Comprehensive medical and dental coverage through our own health solutions
Mental health support and wellness programs designed by experts who get it
Flexible work arrangements that fit your life
Retirement planning support to help you build real wealth for the future
Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
Professional development opportunities and clear career progression paths
Mentorship from industry leaders who want to see you succeed
Learning budget to invest in skills that matter to your future
Competitive base salary that rewards your success

Fulltime

Stop Loss Coordinator

We are looking for a highly organized and detail-oriented Stop Loss Coordinator ...

Location

United States , Trevose

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of experience in stop loss claims processing or a related field
Proficiency in handling insurance reimbursement and account reconciliation
Strong knowledge of stop loss policies and claims procedures
Exceptional organizational skills to maintain accurate and detailed documentation
Ability to analyze data and address carrier requests or denials effectively
Excellent communication skills for coordinating with internal teams and external carriers
Familiarity with industry-specific regulations and compliance standards
Capability to work independently and manage multiple tasks efficiently

Job Responsibility

Manage the complete lifecycle of stop loss claims, from submission to resolution, ensuring timely and accurate processing
Coordinate with the Finance department to reconcile reimbursements and payments effectively
Monitor pending claims submissions and promptly respond to carrier requests for additional information
Review and interpret stop loss policies to confirm compliance with reimbursement and claims requirements
Maintain thorough and organized records of claims documentation and correspondence following company procedures
Analyze claims data and address carrier denials or requests for further clarification
Provide regular updates to management regarding claim statuses, pending issues, and expected resolution timelines
Collaborate with internal teams to gather necessary information for claims processing
Perform additional duties as assigned to support the overall claims management process

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Account Executive

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Work at Home, New Jersey

Salary:

56855.00 - 111414.00 USD / Year

CVS Health

Expiration Date

March 13, 2026

Requirements

3–5 years’ experience in Sales & Service Account Management
Self Funding knowledge/experience
Stop loss/reinsurance negotiations/presenting
Complex negotiations experience
Sales administration, support, reporting/analytics
Strategy development/plan & prepare to C-Suite
Current Life, Accident & Health License.
Travel required (25%)
C-suite experience

Job Responsibility

Meets assigned sales, retention and profitability objectives and seeks opportunities for profitable growth.
Acts as strategic business partner to customers and producers to optimize the positioning of Aetna’s products and services and to attain profitability and membership objectives.
Draws from entire spectrum of product line and seeks opportunities to execute cross-sell strategies and add other lines of business.
Retains and cultivates a profitable book of business by coordinating the renewal process.
Works collaboratively within Aetna and across business functions to ensure customer needs are understood and key issues are addressed.
Thoroughly analyzes and reviews reports and utilization to consult with customers, implement appropriate interventions and drive mutually beneficial outcomes for the customer and Aetna.
Analyzes and reviews reports/data and utilization to assist the customers in understanding key drivers of benefits cost.
Recommends solutions based on data.
Coordinates resources to ensure a successful case installation of new products and services.

What we offer

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

Fulltime

Warehouse Coordinator

We are looking for an experienced Warehouse Coordinator able to improve drastica...

Location

Iraq , Basrah

Salary:

Not provided

Lobellia

Expiration Date

Until further notice

Requirements

Bachelor’s degree in engineering or construction field
10 to 15 years of experience in the oil industry, with significant experience in Construction
Previous experience under SIMOPS works will be considered as a plus
Team player with ability to work collaboratively across complex project teams and interface between interdisciplinary departments and within an international team
Fluent in English, Arabic is a plus

Job Responsibility

Support and enforce project guidelines, HSE objectives and global improvement
Responsible for the respect of the HSE Rules and Company Specifications for his activity
Attend HSE meetings and training when necessary
Initiate and/or Participate in Job Safety Analysis, make suggestions, stop dangerous situations, and report anomalies and dangerous acts
Conduct toolbox talks and enforce safe work practices
Contributes to the project Asset Integrity initiative by reporting any anomaly, defect, bad practice, lack of equipment, lack of competence that could result in a major HSE incident or loss of production
Lead and coordinate warehouse and material management for project in direct line with the Contractor
Follow up and ensure the selected Contractor’s to carry out works in their premises in prefabrication and under construction on the Sites
Ensure adherence to project specifications, drawings, and quality standards
Prepare, Review and validate construction methods and work instructions closely with the construction contractor

Fulltime

Warehouse Coordinator

We are looking for a Warehouse Coordinator for one of our clients.

Location

Iraq , Basrah

Salary:

Not provided

Lobellia

Expiration Date

Until further notice

Requirements

Bachelor’s degree in engineering or construction field
10 to 15 years of experience in the oil industry, with significant experience in Construction
Team player with ability to work collaboratively across complex project teams and interface between interdisciplinary departments and within an international team
Fluent in English

Job Responsibility

Support and enforce project guidelines, HSE objectives and global improvement
Responsible for the respect of the HSE Rules and Company Specifications for his activity
Attend HSE meetings and training when necessary
Initiate and/or Participate in Job Safety Analysis, make suggestions, stop dangerous situations, and report anomalies and dangerous acts
Conduct toolbox talks and enforce safe work practices
Contributes to the project Asset Integrity initiative by reporting any anomaly, defect, bad practice, lack of equipment, lack of competence that could result in a major HSE incident or loss of production
Lead and coordinate warehouse and material management for project in direct line with the Contractor
Follow up and ensure the selected Contractor’s to carry out works in their premises in prefabrication and under construction on the Sites
Ensure adherence to project specifications, drawings, and quality standards
Prepare, Review and validate construction methods and work instructions closely with the construction contractor

Fulltime

Collection Supervisor

Manage the financial collection department of a company and be responsible for t...

Location

Egypt , Cairo

Salary:

Not provided

Erada Microfinance

Expiration Date

Until further notice

Requirements

Previous experience as a collection supervisor
Preferred in Microfinance or Banking Sector
Strong Communication and Leadership skills
A bachelor’s degree is required

Job Responsibility

Coordinate activities of staff members to ensure a smooth and efficient department that reduces the number of cases that are overlooked
Oversee the collection of outstanding credit and invoices to minimize profit loss while ensuring it is handled appropriately and per company policy
Create and implement strategies to increase the number of successful collections on outstanding debt
Recruit, hire, train, and evaluate staff members within the collections department to ensure a sufficient number of staff members are available to handle the workload
Develop goals that complement the overarching business goals of the company and coordinate staff to continually meet and exceed goals
Run reports and analyze data pertaining to the department and share with executive staff and managers of department staff as needed
Communicate with clients to build and maintain a strong working relationship and reduce the number of clients who stop working with the company
Implement credit policies and procedures that retain a smooth running of the department and avoid excessive credit limits

Security and Safety Officer

ASM Global The leader in privately managed public assembly facilities, has an ex...

Location

Puerto Rico , Hato Rey

Salary:

Not provided

Legends Global

Expiration Date

Until further notice

Requirements

Demonstrates a high level of diligence, attention to details and a strong commitment to providing outstanding customer service
Excellent verbal, written and reading communication skills in both, English and Spanish
Ability to clearly present and explain health and safety topics to diverse audiences
Completed OSHA trainings or able to complete it withing a short timeframe
Solid understanding of relevant legislation and regulations (e.g., OSHA, EPA) and safety procedures
Familiarity with potential hazardous materials and safe handling practices
Adhere to OSHA regulations, including but not limited to the standards outlined in 29 CFR 1926 (Construction) and general industry standards 1910 & 1911
Experience in writing clear, concise and accurate incident and safety reports
Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook)
working knowledge of safety management information systems (SMIS) is a plus

Job Responsibility

Respond promptly and effectively to all security and safety-related calls, coordinating with local law enforcement when necessary
Collaborate closely with operations and event staff to ensure seamless experiences for visitors and successful execution of programming
Conduct thorough interior and exterior patrols of the facility
identify, address, and report any security, safety, or fire hazards
Prepare clear, detailed incident reports and carry out comprehensive investigations when warranted
Support the planning and execution of public safety strategies for daily operations and special events
Assist with traffic control in loading dock areas, guiding drivers and managing parking to maintain an efficient and safe work environment
Safeguard property from damage caused by negligence, vandalism, or unsafe behavior
Help prevent losses by identifying irregularities, addressing violations of policies, and intervening when unauthorized access or trespassing occurs
Work collaboratively with the Event Services team to manage large crowds, adapting to dynamic event environments while delivering exceptional customer service

Fulltime

Piping Site Lead

We are looking for a Piping Site Lead for one of our clients.

Location

Iraq , Basrah

Salary:

Not provided

Lobellia

Expiration Date

Until further notice

Requirements

Bachelor’s degree in engineering or construction field
10 to 15 years of experience in the oil industry, with significant experience in Construction
Very good knowledge of General Specifications, rules, procedures and International Codes and Standards
Experience in onshore Greenfield and brownfield project
Team player with ability to work collaboratively across complex project teams and interface between interdisciplinary departments and within an international team
Fluent in English

Job Responsibility

Lead and coordinate piping activities in direct coordination with the Contractor
Follow up and ensure the selected Contractor’s to carry out works in their premises in prefabrication and under construction on the Sites
Ensure adherence to project specifications, drawings, and quality standards
Prepare, Review and validate construction methods and work instructions closely with the construction contractor
Ensure the proper execution of the works in compliance with safety and environmental protection procedures, technical specifications, budgets, and schedules
Check the procedures and task sheets of the Companies, participate, or control the risk analyses, help in the preparation / check the work permits
Resolve technical issues on-site in coordination with engineering teams
Manage subcontractors and ensure proper allocation of manpower and equipment
Optimize and follow up the work schedules, to do this check the good organization of the logistics and the Contractor's site Control material deliveries and verify conformity with project requirements
Anticipate all potential problems, propose, if necessary, alternative 'practical' solutions

Fulltime

Stop Loss Coordinator

Robert Half

Location:
United States , Feasterville-Trevose

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
March 13, 2026

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Location:United States , Feasterville-Trevose

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Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:March 13, 2026

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