Senior Stop-Loss Claims Auditor — Remote
$51.11k - $97.73kSouthcarolinablues
Jacksonville, FL
- Remote job
Southcarolinablues is looking for a Sr Stoploss Claim Auditor in Jacksonville, Florida. This full-time remote position involves auditing and authorizing reimbursement of specific medical stop loss claims. The successful candidate will analyze claims, recognize cost mitigation opportunities, and have at least 6 years of managed care or reinsurance claims experience. An Associate's degree is required. The salary range is $51,107 to $97,729 annually. #J-18808-Ljbffr Southcarolinablues
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Senior Stop-Loss Claims Auditor — Remote in Jacksonville, FL vacancy
- ...Senior Underwriter - Medical Stop Loss Avon, CT; Houston, TX; Phoenix, AZ We are one of the largest wholesale... ...in the Phoenix, AZ area working remotely; however, highly qualified... ...funded employer group data, including claims experience, demographics, plan design...Remote workSeniorClaimsWork at office
Jencap
United States2 days ago - ...Senior Claims Specialist- Accident & Health (Medical Stop Loss) Location: USA – MA, Marblehead; Atlanta, GA Work Arrangement: Hybrid or Remote The salary range for this role is: $88,000-145,000K The Opportunity The purpose of this role is to provide exceptional...Remote workSeniorClaimsFull timePart timeWork experience placementWork at officeWork from home
QBE Insurance
Atlanta, GA6 days ago $23.16 per hour
...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...Remote workSeniorClaimsFor contractorsWork at officeLocal areaHighmark Health
United States4 days ago$82.83k
...profitable book of business in the employer stop loss marketplace through Managed Care... ...companies. Location: This is a full-time remote position. The typical work hours are... ...communication with management, marketing, sales, claims, and other appropriate areas. Assist...Remote workSeniorClaimsFull timeFor contractorsWork experience placementSecond jobLocal areaMonday to FridayBlueCross BlueShield of South Carolina
Grizzly Flats, CA18 hours ago$82.83k
...profitable book of business in the employer stop loss marketplace through Managed Care... ...Location: This is a full-time remote position. The typical work hours are Monday... ...communication with management, marketing, sales, claims, and other appropriate areas. Assist management...Remote workSeniorClaimsFull timeFor contractorsWork experience placementSecond jobLocal areaMonday to FridayBlueCross BlueShield of South Carolina
United States1 day ago$87.9k - $146.5k
...new opportunity to join our team as a Senior Stop Loss Underwriter! About the role In... ...guidelines Analyze information on past claim history and other standard criteria... ...company. Please review Symetra's Remote Network Minimum Requirements: As a remote...Remote workSeniorClaimsFull timeWork at officeImmediate startWork from homeFlexible hoursShift workSymetra
Bellevue, WA2 days ago$122.44k
...Prior Authorization programs for commercial stop loss programs.This role Directs and oversees... ...companies. Location: This is a remote position. Typical work hours are from 8:3... ...program. Knowledge of pricing large stop loss claims in coordination with other clinical staff...Remote workSeniorClaimsContract workFor contractorsWork experience placementWork at officeLocal areaMonday to FridayBlueCross BlueShield of South Carolina
Denver, CO1 day ago$64.7k
...customer service platform. Our claims and risk engineering services... ...to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary... ...approach to business. The Senior Underwriter is responsible for... ...and an employee driven corporate giving. #LI-JA1 #LI-RemoteRemote workSeniorClaimsWork experience placementWork at officeFlexible hoursCrum & Forster
United States4 days ago- ...Summary: • Responsible for managing the full lifecycle of stop loss claim submissions with minimal oversight. • Ensures accuracy,... ...team members by offering guidance and context Requirements: Preferred location: Plano but open to remote #LI-DG2 #LI-MM4Remote workSeniorClaims
Lockton, Inc.
Plano, TX3 days ago - ...Auditing and authorizing reimbursement of medical stop loss claims, the full-time Senior Stoploss Claim Auditor will work remotely to mitigate client claims and provide excellent customer service while analyzing claims, initiating investigations, and maintaining claims...Remote workSeniorClaimsFull timeContract work
Virtual Vocations Inc
United States2 hours ago $53.32k
...Medical Stop Loss Claims Auditor Audit and authorize reimbursement of specific and/or aggregate medical stop loss claims. Effectively mitigate... ...) Monday-Friday from 8:00am-5:00pm EST and will be fully remote. Analyze and adjudicate stop loss claims and request appropriate...Remote workSeniorClaimsFull timeContract workFor contractorsWork experience placementLocal areaMonday to FridayBlueCross BlueShield of South Carolina
United States7 hours ago- A leading health insurance provider is seeking a dedicated claims analyst to review and process Stop Loss claims. This role requires 5 years of relevant experience and expertise in health insurance claims management. The successful candidate will build client relationships...SeniorClaims
- A leading healthcare provider is seeking a knowledgeable claims analyst to review and process Stop Loss claims according to established standards. The successful candidate will build client relationships, educate clients, and analyze claim losses, ensuring compliance with...SeniorClaims
- A healthcare services organization is searching for a Claims Analyst responsible for reviewing and processing Stop Loss claims. This role involves building client relationships, analyzing claim losses, ensuring compliance with established procedures, and finalizing payment...SeniorClaims
- A healthcare service provider in Illinois is looking for a Claims Analyst to review and process Stop Loss claims. This role involves evaluating claims for compliance, managing client relationships, and ensuring claim accuracy. The ideal candidate will have at least 5 years...SeniorClaimsFull time
- A leading healthcare organization in Oklahoma City is seeking a claims processor to review and analyze Stop Loss claims while ensuring compliance with established standards. The ideal candidate will have a strong background in health insurance claims, effective communication...SeniorClaims
$23.16 - $35.88 per hour
A leading health insurance provider is looking for a Claims Processor in Richmond, Virginia. The role involves evaluating and processing Stop Loss claims while maintaining positive client relationships. Ideal candidates will have at least 5 years of experience in health...SeniorClaimsHourly pay$23.16 - $35.88 per hour
A health insurance provider is seeking an experienced professional to review and process Stop Loss claims in Salt Lake City, Utah. This role includes evaluating claims, managing client relationships, and ensuring compliance with policies. The ideal candidate will have...SeniorClaimsHourly pay$23.16 - $35.88 per hour
A leading healthcare organization is seeking a skilled professional to manage Stop Loss claims in Nashville, TN. This role involves evaluating and processing claims, building positive client relationships, and ensuring adherence to standards. Candidates should have 5 years...SeniorClaimsHourly pay$68.2k - $102.3k
The Rhode Island Bar Assn. is seeking a Senior Manager for their Stop Loss and Health Claims team. This individual will lead complex claims operations, manage a talented team, and collaborate with various stakeholders to ensure efficiency and excellence in customer service...SeniorClaims- A leading health services company in South Carolina seeks a Claims Analyst for Stop Loss claims processing. This role involves evaluating and processing claims, building client relationships, and ensuring compliance with various regulations. The ideal candidate will have...SeniorClaims
$23.16 - $35.88 per hour
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...SeniorClaimsHourly payWork at office$23.16 - $35.88 per hour
A healthcare provider in Indianapolis seeks an experienced professional to review and process Stop Loss claims. The role involves evaluating claims for compliance, building client relationships, and ensuring accuracy in payment requests. Candidates should have at least...SeniorClaimsHourly pay$68.2k - $102.3k
Crains Cleveland is seeking a Senior Manager, Stop Loss and Health Claims to lead their dynamic claims unit. This role involves overseeing complex claims operations and managing a talented team to drive customer service excellence. The ideal candidate will have 5+ years...SeniorClaims$82.83k
...of business in the employer stop loss marketplace through Managed Care... ...: This is a full-time remote position. The typical work hours... ...management marketing sales claims and other appropriate areas.... ...Heres more information. Required Experience: Senior IC...Remote workSeniorClaimsFull timeFor contractorsWork experience placementSecond jobLocal areaMonday to Friday$23.16 - $35.88 per hour
A leading healthcare organization in Boston is seeking a claims analyst to review and process Stop Loss (Excess Risk and Reinsurance) claims. The role involves building client relationships, assessing claims, and ensuring compliance with quality standards. Candidates should...SeniorClaimsHourly pay- ...Stop Loss Claims Auditor or Senior Stop Loss Claims Auditor The Stop Loss Auditor is responsible for auditing and authorizing reimbursements of specific claims and effectively mitigate client medical stop loss claims and provide excellent customer service. Experience...ClaimsContract workFlexible hours
Evolution Risk Partners LLC
Evanston, IL4 days ago - ...employee benefit brokers and consultants, stop loss carriers, and various clinical point... ...financial interests. This is role is remote; however, it will require travel and in person... ...clinicians, underwriters, actuaries, and claims professionals, to develop comprehensive risk...Remote jobSeniorClaimsFull timePart timeWork at officeWork from homeShift workDay shift
$68.2k - $102.3k
...Senior Manager, Stop Loss And Health Claims Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs...SeniorClaimsWork at officeFlexible hoursDentaQuest
Kansas City, MO2 days ago$23.16 - $35.88 per hour
A health insurance company in Des Moines, Iowa seeks a Claims Analyst to review and process Stop Loss claims per established standards. Responsibilities include evaluating claims, maintaining records, providing client counseling, and identifying discrepancies. Candidates...SeniorClaimsHourly pay
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Stop-Loss Claims Auditor — Remote. Be the first to apply!
Related searches
- safety auditor Jacksonville, FL
- field auditor Jacksonville, FL
- remote auditor Jacksonville, FL
- medical claims auditor Jacksonville, FL
- information system auditor Jacksonville, FL
- energy auditor Jacksonville, FL
- remote nurse auditor Jacksonville, FL
- coding auditor Jacksonville, FL
- medical records auditor Jacksonville, FL
- data auditor Jacksonville, FL