Senior Manager, Stop Loss & Health Claims - Hybrid
The Mississippi Bar
Sun Life U.S. is seeking a Senior Manager, Stop Loss and Health Claims to lead our dynamic claims unit. You will oversee complex claims operations, manage a high-performing team, and partner with key stakeholders to drive exceptional service and growth. In this hybrid role, you will direct evaluation, negotiation, and settlement of complex claims, mentor staff, and optimize processes across our network. 5+ years of medical stop loss or health insurance claims experience is required, with #J-18808-Ljbffr The Mississippi Bar
$68.2k - $102.3k
...vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare... ...lives. Sun Life embraces a hybrid work model that balances in... ...states plus AK. The opportunity Senior Manager, Stop Loss and Health Claims leads our dynamic claims...SeniorClaimsWork at officeLocal areaFlexible hours- A global fintech leader is seeking a Stop Loss Underwriter to evaluate, price, and manage risk for self-funded health plans. The role requires collaboration with sales, clinical, policy, and claims teams to ensure profitable underwriting. Candidates should have 2+ years...Claims
- Acrisure is seeking a Stop Loss Underwriter to evaluate, price, and manage risk for employer-sponsored self-funded health plans. You will underwrite new business and renewals, assess... ...with sales, clinical, policy, and claims teams is essential to deliver sound underwriting...ClaimsRemote job
$72.5k - $108.8k
...vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and... ...Description: Sun Life embraces a hybrid work model that balances... ...2 days per week. The Senior Case Manager I, LTD... ...of long-term disability claims. The Senior Case Manager...SeniorClaimsContract workWork experience placementWork at officeLocal areaFlexible hours2 days per week- UPMC Health Plan has an exciting opportunity for an Operations Analyst, Senior position in the Core System Operations... ...This is a full-time hybrid position based in the... ...and maintenance of the claims transactional system... ...the Business Support Management team, this role will...SeniorClaimsFull time
- Blue Shield Behavioral Health Care Management is seeking a Senior Clinician (RN) to assist members with behavioral health needs, navigate care, and coordinate... ...planning, and interdisciplinary collaboration in a hybrid work model. The candidate should hold an active RN...Senior
- ## Senior Claims Representative Bodily Injury -HybridApplylocations: Richfield... ...expertise in product design, loss control and claim services... ...This individual will work a hybrid schedule out of the Richfield... ...and Responsibilities*** Manages an inventory of claims to evaluate...SeniorClaimsFull timePart timeSeasonal workLive outWork at officeRemote work
$160k
...brands that cover different categories of health & wellness products. We wouldn’t be... ...rather than simply measure it. The Senior Product Marketing Manager owns the positioning, messaging, and... ...pressure-test positioning, and keep claims tied toreal evidencerather than over-...SeniorClaimsWork at officeImmediate startNight shift- ...Specialist to ensure timely submission of professional medical claims. You will verify insurance claims, appeal denied claims, and answer... ...staff. This role offers a 40-hour work week with Day shifts and hybrid work arrangements. Competitive wages, great benefits, and...ClaimsShift workDay shift
- Jobtailor is seeking a Health Insurance Claims Auditor to conduct pre- and post-pay audits for Medicare/Medicaid, ensuring CMS compliance and... ...Institutional and Professional claims, CPT4/ICD10 coding, and a hybrid work model with possible 2-3 days onsite at the Franklin,...ClaimsWork at office
- Vireo Health, Inc. is seeking a Senior People Resources Business Partner to advise senior leadership and lead HR strategies aligned with business goals. The role focuses on people management, organizational development, and employee engagement across a growing organization...Senior
- ...UPMC Health Plan is seeking an Operations Analyst, Senior in the Core System Operations department. This full-time hybrid role is based in the Pittsburgh area and focuses on the claims transactional system and related applications. The role analyzes financial and clinical...SeniorClaimsFull time
- Sun Life U.S. embraces a hybrid work model with in-office collaboration at least 2 days per week. The Senior Case Manager I, LTD conducts review and investigation, determines liability, and manages long-term disability claims. This role mentors less experienced analysts...SeniorClaimsWork at office2 days per week
- NIIC National Interstate Insurance Company in Richfield, OH, is seeking a Senior Claims Representative for Bodily Injury to join our team on a hybrid schedule. The role requires handling bodily injury claims, conducting investigations, and negotiating settlements within...SeniorClaims
$138.82k - $163.32k
...and relationship-driven Senior Client Relations... ...Senior Client Relations Manager, you will own the vault... ..., DE office. Remote or hybrid candidates will also be... ...details.Reasons To Join Us:Health Insurance: All full-time... ..., through fake e-mails claiming to be from the company...SeniorClaimsFull timeWork at officeRemote workWorldwideFlexible hoursShift work$250k
National General is seeking an experienced Large Loss BI Adjuster to handle high-exposure, litigated bodily injury claims totaling $250,000 or more. You will investigate, evaluate, negotiate and resolve complex casualty claims with substantial exposure across auto and...SeniorClaims- Harris Health is the public healthcare safety-net provider established in 1966 to serve... ...acute and primary care, wellness, disease management and population health services. Ben Taub... ...precertification, filing deadlines, claims processing, coverage issues and referral...ClaimsWork experience placementWork at officeRemote workFlexible hours
- MCC Mid-Continent Casualty Company in Tulsa, OK (hybrid) or Cincinnati, OH, seeks a Senior Claims Representative to manage a nationwide portfolio of commercial general liability and commercial auto claims. You will investigate coverage, liability, and damages, gather documents...SeniorClaims
- UniGroup, Inc. is seeking a Senior Claims Specialist in Des Peres, MO to investigate, evaluate, and resolve complex cargo loss or damage claims across multiple lines of business. This role requires strong judgment and analytical skills, with collaboration across customers...SeniorClaims
- CorVel is seeking a Workers’ Compensation Claims Supervisor to lead a team, ensuring quality, productivity, and customer service aligned... ...the claims department goals, with opportunities for remote or hybrid work arrangements and occasional travel. The position requires extensive...SeniorClaimsRemote job
$125k - $150k
...Location: Hybrid to NY (Melville or NYC) or NJ (Summit, Jersey City... ...seeking a highly experienced Senior Client Executive to join our Northeast... ...will be responsible for managing complex Property & Casualty... ...Coordinate internal resources across Claims, Risk Control, Placement,...SeniorClaimsHourly payContract workFor contractorsWork at officeLocal area- NIIC National Interstate Insurance Company seeks a seasoned Bodily Injury Claims Specialist to manage complex BI claims, conduct investigations, and negotiate settlements. Hybrid work from Richfield, OH or remote from the USA. Key qualifications include a Bachelor’s in...SeniorClaimsRemote job
$80k - $95k
...Job Description: Title: Senior Account Manager - Commercial Lines Hybrid Preferred: 1-2 days in Columbia,... ...policy administration, billing, claims, and coverage analysis.... ...potential ~ Company-paid health insurance ~ Paid holidays...SeniorClaimsFor contractorsRemote work- ...services, digital services and managed services. Job Description Ayming USA is looking for a Senior Project Manager to join our Innovation... ...required for tax credit claims. Research and review relevant... ...court and more! #LI-DANIELA #LI-HYBRID Job Location #J-18808-Ljbffr...SeniorClaimsSummer workLocal areaRemote work
$75k - $80k
Privia Health™ is a technology-driven, national physician enablement company that collaborates... ...of the Sr. Director, of Revenue Cycle Management, the Senior Manager, Revenue Cycle Management, is... ...take steps necessary to resolve all claim issues or questions that elevate to the...SeniorClaimsWork at officeLocal areaRemote workWork from homeHome officeNight shift$130k
...Senior Restoration Project Manager – NYC Location: New York City (Queens preferred / NYC Boroughs considered) Base Salary: $130,000 + Benefits +... ...Prepare and maintain accurate project documentation and claims records Work closely with insurance carriers, adjusters...SeniorClaimsFull timeFor subcontractor- ...Description Job Description Job Title: Senior Scrum Master – Healthcare... ...Partner with Product Owners, Delivery Managers, and Engineering teams to ensure... ...of healthcare solutions (EHR/EMR, claims, interoperability, digital health). · Remove impediments, risks, and...SeniorClaimsRemote work
$100k
Selective Insurance seeks a Property Claims professional to handle large and complex Property and Inland Marine claims, typically $100,000 and above. Investigate, estimate damages, deploy experts, secure documentation, and settle within authority and standards. The role...SeniorClaims$250k
...offer home, auto and accident and health insurance, as well as other specialty... ...Lead Consultant is responsible for management and oversight of Home Office Claim Department referrals. The... ...and general oversight of all large losses for a specific CSA or CSAs. We are...ClaimsWork at officeWork from homeHome officeVisa sponsorshipWork visa- ...MANAGER OF SAFETY AND COMPLIANCE Under the direction of the Operations... ...minimize injuries, illnesses, and health risks for employees. Plans safety, security and loss control measures that will protect... ...sees that Workers’ Compensation claims are filed as needed and...ClaimsTemporary workInternshipWork at officeLocal area
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