Healthcare Stop-Loss Analyst

hace 6 días

Mexico City Droisys A tiempo completo

About Company,

Droisys is an innovation technology company focused on helping companies accelerate their digital initiatives from strategy and planning through execution. We leverage deep technical expertise, Agile methodologies, and data-driven intelligence to modernize systems of engagement and simplify human/tech interaction.

Amazing things happen when we work in environments where everyone feels a true sense of belonging and when candidates have the requisite skills and opportunities to succeed. At Droisys, we invest in our talent and support career growth, and we are always on the lookout for amazing talent who can contribute to our growth by delivering top results for our clients. Join us to challenge yourself and accomplish work that matters.

We're hiring Job Medical Stop-Loss Data & Benefits Analyst (Entry Level) in Mexico ( Remote )

About the Role

We are seeking a motivated and detail-oriented Data & Benefits Analyst to join our growing Medical Stop-Loss (MSL) operations team. This entry-level role is ideal for candidates with a strong foundation in benefits administration, policy review, and data entry, who are eager to build a career in the rapidly evolving self-funded insurance space.

The Analyst will be responsible for reviewing, validating, and entering benefit and policy data across multiple systems—supporting underwriting, quoting, and claims workflows within the MSL lifecycle. You'll collaborate closely with cross-functional teams in the U.S. and Mexico to ensure accuracy, timeliness, and compliance across all submissions.

Key Responsibilities

- Benefits Review & Validation: Analyze plan documents, summary of benefits, and RFP materials for accuracy and completeness.
- Data Entry & Quality Control: Input and maintain policy, census, and claims data in internal platforms with precision.
- System Updates & Corrections: Identify discrepancies, validate data, and proactively correct errors.
- Reporting & Tracking: Prepare daily and weekly status reports with productivity metrics and quality scores.
- Collaboration & Communication: Work closely with leads and underwriters to clarify benefit interpretations.
- Process Improvement: Contribute ideas to improve workflows and support automation initiatives.

Qualifications

Education:

- Technical degree or bachelor's degree in Administration, Business, Insurance, Data Analytics, or related field.
- We will also consider technical trade experience with a high school diploma.

Experience:

- 1+ year of experience in benefits administration, insurance data entry, or healthcare operations.
- Medical stop-loss or self-funded benefits experience strongly preferred.

Technical Skills:

- Proficiency in Microsoft Excel, Word, and Outlook.
- Strong keyboarding skills (45+ WPM) and accuracy.
- Intermediate to advanced English proficiency required.

Droisys is an equal opportunity employer. We do not discriminate based on race, religion, color, national origin, gender, gender expression, sexual orientation, age, marital status, veteran status, disability status or any other characteristic protected by law. Droisys believes in diversity, inclusion, and belonging, and we are committed to fostering a diverse work environment

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