JOB DETAILS

Medical Claims Coordinator - Hybrid

CompanyAuxiant
LocationCedar Rapids
Work ModeOn Site
PostedJuly 29, 2026
About The Company
Auxiant is a Third Party Administrator (TPA) of self-funded benefit plans. Our specialty is customization, technological tools for clients and individuals, and cost-control and health management. We provide administration for over 60,000 employees from our administrative offices in Madison Wisconsin and Cedar Rapids, Iowa. Our Sales offices are in Cedar Rapids, Iowa and Milwaukee, Wisconsin. TPAs are one of the best-kept secrets in the country. Many people do not know TPA firms exist-yet about 2/3 of all employee benefit plans in the U.S. use TPA services. As a TPA, we are dedicated to taking excellent care of the employer and the individuals covered under their employer-sponsored health plans. A health plan is a highly valued component of a company's employment package. With the rising costs of medical care, a health plan has also become a major employer expense. We know how important careful administration of an employer health plan is. We believe it is important to provide our plans with cost-management strategies, while providing plan participants with tools to help them deal with the complexities of health care purchasing. Auxiant's Medical Management programs help plan sponsors achieve the lowest medical spend. Auxiant is member of the Society of Professional Benefit Administrators (SPBA) and Society of Self Insured Administrators (SIIA).
About the Role

Description

https://www.auxiant.com/


Auxiant’s Mission Statement and Core Values


Mission: An Independent TPA investing in People and Innovation to deliver expert-driven experiences with REAL Results.


Core Values: Independent Solutions. REAL Results


Respect
Empowerment
Agility
Leadership


Be part of a growing and prospering company as a Medical Claims Coordinator in our Cedar Rapids, IA office. Auxiant is a third party administrator of self-funded employee benefit plans with offices in Cedar Rapids, IA, Madison and Milwaukee, WI. Auxiant is a fast-growing, progressive, and family-oriented company offering an excellent wage and benefit package.


Job Summary: Operate at the center of the organization with daily responsibilities to monitor, audit, and file stop loss insurance claims on behalf of customer contracts.


Essential Functions:

· Review weekly reports to identify stop loss cases

· Submit potential loss notices to stop loss carriers for members over 50% of the specific deductible

· Prepare and file stop loss claims to the stop loss carriers

· Assemble and submit additional information to carriers as requested

· Audit files at contract year-end

· Request work status information from group contact

· Monitor account balances for groups with aggregate only coverage

· Review high dollar claims to see if they need to be split

· Record data as it pertains to stop loss submissions

· Process funding received from stop loss carrier

· Run, review, and post month-end reports


Non-Essential Functions:

· Other duties as assigned or appropriate


Education/Qualifications:

· Excellent written/verbal communication skills to include the ability to interact professionally with diverse group of vendors, managers, customers and employees

· Excellent time management and organizational skills

· Strong aptitude for analytical thinking and comprehension of complex concepts

· Proficient PC skills including e-mail, MS Word, MS Excel

· Database / MS Access experience a plus

· Basic accounting skills

· Some College and 1-2 years related experience; or equivalent combination of education and experience.


*Full benefits including: Medical,Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD, 401K, 3 weeks vacation, 9 paid holidays, casual dress code and more.



Key Skills
Medical ClaimsStop Loss InsuranceAuditingData EntryAnalytical ThinkingTime ManagementOrganizational SkillsCommunication SkillsMicrosoft WordMicrosoft ExcelMicrosoft AccessAccountingReportingDatabase Management
Categories
HealthcareFinance & AccountingAdministrative
Benefits
MedicalDentalVisionFlexible SpendingGym Membership ReimbursementLife InsuranceLong Term DisabilityShort Term Disability401k3 Weeks Vacation9 Paid HolidaysCasual Dress Code
Job Information
📋Core Responsibilities
The Medical Claims Coordinator is responsible for monitoring, auditing, and filing stop loss insurance claims on behalf of customer contracts. They also manage month-end reporting and ensure accurate data recording for all stop loss submissions.
📋Job Type
full time
📊Experience Level
0-2
💼Company Size
182
📊Visa Sponsorship
No
💼Language
English
🏢Working Hours
40 hours
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