Senior Stop Loss Claims Strategist
$23.16 - $35.88 per hourHighmark Health
A major healthcare provider is seeking a Stop Loss Claims Analyst who will review, evaluate, and process claims. This role involves building client relationships, analyzing claims, and ensuring compliance with standards. The ideal candidate must have at least 5 years of relevant experience in health insurance claims, with strong organizational and problem-solving skills. This office-based position offers a pay range from $23.16 to $35.88 per hour, depending on experience. #J-18808-Ljbffr Highmark Health
$23.16 per hour
...Company Highmark Inc. Job Description Job Summary This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships,...SeniorClaimsWork at officeLocal area- Imagine360 is seeking a Senior Stop Loss Specialist to join the team! This position coordinates the tracking, monitoring, documenting and submission of stop loss claims. This position maintains a comprehensive understanding of the plan document(s) under their scope of...SeniorClaimsTemporary workWork at officeRemote work
- RSC Insurance Brokerage, Inc. is seeking a Health Claims Stop Loss Claims Auditor responsible for conducting detailed audits of high-complexity claims files to ensure compliance and accuracy. You will perform in-depth claims reviews, document findings, and collaborate...Claims
$51.8k - $75k
Risk Strategies is seeking a Health Claims Stop Loss Claims Auditor to conduct detailed audits of high-complexity claims files, ensuring compliance with company procedures and regulations. The ideal candidate should have 4-6 years of claims or audit experience, a Bachelor...Claims- ...Adjuster based in New York. This position involves investigating, evaluating, and managing complex property and casualty claims, particularly large-loss claims. Candidates should have a minimum of five years of relevant experience and strong analytical and communication...SeniorClaims
$115k - $145k
RSC Insurance Brokerage, Inc. is seeking a Senior Safety Loss Control Consultant based in New York to provide risk management and loss prevention services. This role will focus on identifying and mitigating safety-related hazards, particularly regarding workers’ compensation...Senior- Risk Strategies Company in New York is seeking a Senior Safety Loss Control Consultant to provide risk management and loss prevention services. You will conduct safety assessments, assist clients in improving safety programs, and manage relationships between clients and...Senior
- Jobtailor is seeking a seasoned Safety and Loss Control Professional to support clients across healthcare, manufacturing, construction and other industries in reducing risks and losses. Responsibilities include conducting safety assessments, developing service plans, coordinating...Senior
- ...services company in Georgia is looking for a commercial property loss adjuster with 6-10 years of experience. The role involves... ...critical position in providing exceptional customer service and ensuring thorough management of claims processes. #J-18808-Ljbffr Engle MartinSeniorClaims
$198.9k - $424.9k
A leading healthcare organization is seeking an experienced SVP of Underwriting responsible for profit and revenue from stop loss business. This role leads the Underwriting Department and manages external partnerships, encompassing strategic planning and execution. The...Senior£100k per year
Adjusting Appointments Limited is seeking a senior loss adjuster to handle a challenging caseload of commercial property losses. The role requires assessing, negotiating, and settling claims with a focus on quality outcomes. You will travel across the South East Coast...SeniorClaims- CVS Health is seeking a Senior Project Manager to support the Stop Loss business and lead cross‑functional initiatives from planning through implementation. You will drive strategic projects impacting underwriting, actuarial, finance, sales, and product teams, while solving...Senior
- Molina Healthcare is looking for a professional to provide senior-level support for claims recovery activities. This role involves researching claim payment guidelines, collaborating with health plans, and ensuring timely settlement of claims. Applicants should have at...SeniorClaims
- A leading insurance firm in New York is seeking an experienced claims professional to manage their US domestic claims portfolio. The role involves overseeing daily claim activities, assessing new claims, and ensuring prompt resolution. Candidates should have a degree in...SeniorClaims
- QBE Americas, Inc. is seeking a claims manager based in New York. This role involves overseeing complex claims, ensuring compliance with regulations, and collaborating with various stakeholders. The ideal candidate will have a Bachelor's degree and at least 8 years of...SeniorClaims
- A market-leading specialty insurer is seeking a Senior Claims Specialist in New York City, NY. The ideal candidate will manage complex third-party liability claims, focusing on litigation and customer relations. Responsibilities include overseeing claim investigations,...SeniorClaims
$85.6k - $141.2k
Travelers Canada, located in Georgia, is seeking a Claims Specialist to investigate, evaluate, and resolve claims related to General Liability. The ideal candidate will have at least three years of experience in bodily injury claims handling and must develop strong negotiation...SeniorClaimsFlexible hours$60k - $68k
Equitable Advisors is hiring a Senior Group Life Claims Examiner to oversee claims processes and ensure excellent customer service. The role offers a hybrid work schedule with base salary ranging from $60,000 to $68,000, based on experience. Ideal candidates will have...SeniorClaimsRemote job$99k - $186k
QBE Insurance is looking for a Senior Specialist in Financial Lines Claims to oversee a portfolio of complex claims from various professional segments, including legal professionals. This role involves managing external advisors, negotiating resolutions, and ensuring compliance...SeniorClaims$100k - $120k
The Hispanic Alliance for Career Enhancement is seeking a Sr. Claims Specialist to analyze medical malpractice claims and provide resolutions. You will manage technical claims, coordinate case management, and ensure high customer service levels. Applicants should have...SeniorClaims$115k - $145k
Job Overview The Senior Safety Loss Control Consultant is responsible for providing risk management, loss prevention, and safety related services... ...needs, and industry best practices. Work closely with the claims team and analytics group to review large losses, analyze loss...SeniorClaims$150k - $180k
...launch. Nobody iterated when adoption stalled. That's what AI Strategists at Tenex are hired to fix. You own the engagement from the... ...national insurer wants to know the ten highest-ROI AI bets across claims, underwriting, and customer ops. The Strategist leading the...SeniorClaimsWork at officeShift work$75.1k - $103.26k
We are seeking a Senior Loss Control Consultant to join our team and support commercial lines accounts within the Maryland, Delaware and... ...safety. You will collaborate closely with insureds, underwriting, claims teams, and agents to provide expert guidance on potential loss...SeniorClaimsWork at officeLocal areaHome officeNight shift- ...Senior Vice President, Benefits About the Company Global risk management firm helping... ...wholesale strategic risk analytics claims advocacy bermuda market access... ...field. Significant experience in the medical stop loss, self-funding, or benefits consulting industry...SeniorClaims
$100k - $130k
Risk Strategies seeks a Claims Consultant to serve as a trusted advocate throughout the insurance claims lifecycle. This role involves partnering with clients, insurers, and internal teams to enhance claims management and outcomes. The ideal candidate will possess 5+ years...SeniorClaims$100k
...Senior Commercial General Liability Claims Adjuster Job Description Our client is looking for a Senior General Liability and Casualty Claims Adjuster with... ...and closure Experience handling claims with exposure losses in excess of $100,000 Litigation Experience Active Adjuster...SeniorClaimsFull timeTemporary workWork at officeLocal area$120k - $150k
...lines of business. Calculate and monitor risk scores, PMPM trends, stop‑loss exposure, Databricks, SQL, Python. Support the design and... ...for data analysis; experience with Power BI. Strong knowledge of claims data, CMS methodologies, and medical cost structures. Exceptional...SeniorClaims$97.3k - $178.3k
EY in New York is seeking an experienced Senior Consultant to enhance their Property & Casualty Business Consulting practice. This role... ...involves developing AI-driven strategies and analyzing data to improve claims program performance. The ideal candidate will have significant...SeniorClaimsFlexible hours$100k - $140k
...owned by Fairfax Financial Holdings Limited. Position Summary The Senior Claims Specialist is responsible for managing all aspects of complex... ...and prepare coverage position letters. Investigate losses and document all claim-handling activities. Evaluate, project,...SeniorClaimsWorldwide$135k
...Senior Strategist - Digital Agency | NYC | Hybrid | Up to $135k Our client is a tight-knit, independent digital agency with a simple belief: great strategy shouldn't stop at the brief. They're looking for a Senior Strategist who can architect a brand strategy on Monday...Senior
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