Remote Stop Loss Claims Auditor | Analytics & Risk
$70k - $80kBerkley Accident and Health (a Berkley Company)
- Remote job
Berkley Accident and Health, based in San Antonio, Texas, is seeking a Stop Loss Claims Auditor. In this role, you will evaluate claims submissions to determine eligibility for reimbursement. The position offers a hybrid schedule for your convenience, allowing flexibility between remote and in-office work. To thrive, candidates should have 3-5+ years of relevant claims experience and a strong grasp of medical billing practices. Excellent problem-solving and analytical abilities are also essential. A competitive salary range of $70,000 - $80,000 is provided, alongside a comprehensive benefits package. #J-18808-Ljbffr Berkley Accident and Health (a Berkley Company)
$70k - $80k
...Accident and Health is a risk management company... ...a strong emphasis on analytics, we can help employers... ...products, including employer stop loss, benefit captives,... ...States. #LI-AV1 #LI-Remote The company is an equal... ...As a Stop Loss Claims Auditor (a.k.a. "Claims Analyst...Remote workRiskClaimsFull timeWork at office- Evolution Risk Partners, LLC is looking for a Stop Loss Claims Auditor or Senior Stop Loss Claims Auditor in Evanston, Illinois. The role involves auditing and... ...Auditing and medical claim processing, with a strong analytical background. We offer a competitive salary,...RiskClaims
- Berkley Accident and Health is hiring a Stop Loss Claims Auditor to review and evaluate claim... ...role supports a hybrid work model with remote possibilities and offices in multiple... ...medical billing, CPT codes, and strong analytical abilities. Competitive benefits and career...Remote jobClaims
- Stop Loss Claims Auditor or Senior Stop Loss Claims Auditor The Stop Loss Auditor is responsible for... ...customer service, organizational with strong analytical skills Detail/results-oriented... ...account Life insurance Vision insurance #J-18808-Ljbffr Evolution Risk Partners, LLCRiskClaimsContract workFlexible hours
$60k - $70k
...Medical Stop Loss Underwriter - Remote! A growing and innovative organization in the healthcare insurance and risk solutions space is seeking a detail-oriented and analytical Medical Underwriting Analyst to support... ...specific and aggregate claims experience and risk parameters...Remote workRiskClaimsImmediate start$90k - $110k
...Accident and Health is a risk management company that... ...a strong emphasis on analytics, we can help employers... ...products, including employer stop loss, benefit captives,... ...position can either be fully remote (if not within... ...s clinical, actuarial, claims and distribution departments...Remote workRiskClaimsFull timeWork at office- ...Arrangement: Hybrid or Remote The salary range for this... ...is: $76,000-125,500K Claims Specialist - Accident and Health (Medical Stop Loss) The Opportunity The... ...up to 20 lbs. Skills Analytical Thinking Business Process... ...Problem Solving Risk Management Sound Judgment...Remote workRiskClaimsFull timeWork experience placementWork at officeWork from home
$70k - $80k
W.R. Berkley in San Antonio is seeking a Stop Loss Claims Auditor to evaluate claim submissions for reimbursement eligibility. You will review claims, maintain accuracy, and apply relevant contractual provisions. The ideal candidate has 3-5 years of stop loss claims experience...Remote jobClaims- ...brokers and consultants, stop loss carriers, and various... ...client's needs, assessing risk profiles, and... ...interests. This is role is remote; however, it will require... ...underwriters, actuaries, and claims professionals, to... ...Functional Skills Strong analytical skills with the ability...Remote jobRiskClaimsFull timeWork at officeWork from home
$96.7k - $161.2k
...experience without putting you at risk. As such, applications for... ...our team as a **Manager, Stop Loss Claims!****About the role**In this... ...designations are a plus.* Strong analytical, problem-solving, and... ...company.**Please review Symetra's Remote Network Minimum Requirements...Remote jobRiskClaimsFull timeWork at officeImmediate startWork from homeFlexible hours$65k - $85k
...Insurance is seeking an Associate Medical Risk Consultant in Plymouth Meeting, PA. The... ...with medical risk consultants and claims auditors, managing referral mailboxes and group... ...Qualifications include 1+ years in medical stop loss, knowledge of billing codes, and...RiskClaims$53.9k
...portfolio, which spans both special risk and medical solutions, A&H... .... Job Description The C&F Stop Loss Accounting department of the... ...interact internally with Claims, Policy, Digital Transformation... ...innovative relationship builder Analytical, business minded approach to...Remote jobRiskClaims$23.16 - $35.88 per hour
Highmark Health seeks a Stop Loss Claims Analyst in Annapolis, Maryland. This role involves reviewing and processing various claims while... ...insurance claims experience, organizational skills, and strong analytical abilities. The position is office-based and includes...RiskClaimsHourly payWork at office- ...Underwriter specializing in stop loss insurance to join our... ...for the evaluation, risk assessment, pricing,... ...expertise, sound analytical judgment, and the ability... ...Phoenix, AZ area working remotely ; however, highly... ...group data, including claims experience, demographics...Remote jobRiskClaimsWork at office
$51.8k - $75k
Role Description The Health Claims Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance, accuracy... ...improve claim practices. ~Support audit reporting and analytics. Qualifications ~Bachelor's degree preferred; CPCU...ClaimsHourly payFull time$34.8k
...Claims Support Specialist Since 2000, Crum & Forster's Accident... ...portfolio, which spans both special risk and medical solutions, A&H... ...tailored to needs in Employer Stop Loss, Excess Medical, Life, and... ...Phoenix metro area, but open to remote for the right candidate. We are...Remote workRiskClaimsWork at office- ...Vice President of Stop Loss Underwriting About the Company... ...leadership, actuarial, sales, claims, and product development teams... ...is focused on ensuring robust risk management practices and driving... ...requires excellent communication, analytical, and decision-making skills,...RiskClaims
- Summit Consulting is seeking a Medical Stop Loss Underwriter to work remotely from Kentucky. This role involves assessing risk factors, collaborating with account management, and conducting data analysis to support underwriting decisions. The ideal candidate will possess...Remote jobRisk
$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... ..., a Bachelor's degree preferred, and strong analytical skills. The position offers a competitive...RiskClaims- ...insurance provider is looking for a detail-oriented claims analyst to evaluate and process Stop Loss (Excess Risk and Reinsurance) claims. The role involves... ...competitive salary and demands strong communication and analytical skills. Located in Austin, Texas, some travel may...RiskClaims
$23.16 - $35.88 per hour
...leading healthcare organization in Boston is seeking a claims analyst to review and process Stop Loss (Excess Risk and Reinsurance) claims. The role involves... ...hour, depending on experience, and requires strong analytical and communication skills. #J-18808-Ljbffr...RiskClaimsHourly pay$200k - $285k
Vice President, Stop Loss Underwriting Chicago Suburbs, IL (Hybrid)... ...leadership, actuarial, sales, claims, and product development teams... ..., and ensure sound risk management practices across the... ...opportunities • Providing reporting, analytics, and portfolio insights to...RiskClaims$23.16 per hour
...Summary This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality... .... Ability to work independently. Problem Solving and analytical skills. Language None Travel Requirement 0% - 25%...RiskClaimsWork at officeLocal area$180k - $280k
Vice President of Stop Loss Underwriting - Insurance - Chicago - Hybrid... ...in the insurance and risk solutions space is seeking a... ...excellence for a growing large claims solutions business. This executive... ...Deliver reporting, analytics, and strategic insights to executive...RiskClaims$77k - $132k
...address their most significant risk, workforce, wealth management... ...visit: Summary The Senior Stop Loss Consultant is a subject-... ...including renewals, marketings, claims oversight, and strategic advisory... ...and underwriting. Strong analytical and communication skills. Preferred...RiskClaimsContract work- Prudential seeks a Medical Stop Loss Underwriting Specialist in Newark... ...underwrite medical stop loss risks in accordance with regulatory... ...evaluate census data and claims history, apply underwriting judgment... ...brokers, and clients. Strong analytical abilities, independence, and...RiskClaims
$116.5k - $174.8k
...seeking an Associate Director, Stop‑Loss Product Development to... ...execution of our stop‑loss and risk‑based product strategy for self... ...across underwriting, actuarial, claims, finance, legal, state filing... ...initiatives. Leverage data, analytics, and AI tools to support...RiskClaims- Questpro is seeking a Remote Stop Loss Claims Analyst to manage claims processes and eligibility determinations. The role involves interacting... ...healthcare claims. The ideal candidate possesses strong analytical skills, attention to detail, and proficiency in Microsoft...Remote jobClaimsWork at office
$158.8k - $238.2k
Director, Actuary (Medical Stop Loss Pricing) The Director, Actuary... ...with product, underwriting, claims, and distribution teams to develop... ..., pricing strategies, risk management practices, and drive... ...strategies. Strong quantitative and analytical skills; expertise in...RiskClaims- Claims Specialist - Accident and Health Location: USA - MA, Marblehead... ...Work Arrangement: Hybrid or Remote Salary range: $76,000-125,500... ...up to 20 lbs. Skills Analytical Thinking Business Process Improvements... ...Negotiation Problem Solving Risk Management Sound Judgment...Remote workRiskClaimsFull timePart timeWork experience placementWork at officeWork from home
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