Senior Stop Loss Claims Strategist
Highmark Health
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 of experience in health insurance claims and 3 years of experience processing 1st dollar claims, alongside the ability to communicate effectively and work independently. Competitive compensation based on experience is offered, along with a full-time schedule. #J-18808-Ljbffr Highmark Health
$23.16 per hour
Company: Highmark Inc. Job Description: 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, providing...SeniorClaimsFor contractorsWork at officeLocal area$200k - $250k
Aon is seeking a Property Claims Consultant III to manage complex property and construction loss claims. The role involves leading claim preparation from start to resolution, collaborating with clients and external stakeholders. Ideal candidates will have 12-15+ years...SeniorClaimsRemote job$60k - $90k
Sedgwick is looking for a claims investigator in Illinois. The role involves investigating claims against insurance companies for personal or property loss, preparing detailed reports, and negotiating settlements. Candidates should have a Bachelor's degree, relevant experience...SeniorClaims- ...short, We Enable Possibility. Responsibilities Reserving & Loss Analytics Assist with the Arch Quarterly Reserving process, including reserve analyses and reports, discussions with claims, underwriters, senior management, and external consultants and auditors. Lead...SeniorClaimsTemporary work
$62.7k
...provides critical sales account support for HM Insurance Groups' Stop Loss Business Unit, facilitating the seamless implementation and... ...coordinate the implementation of stop loss policies, group changes, claims issues, premium remittance, and other group administration...SeniorClaimsFor contractorsWork at officeLocal area$90.7k - $153.93k
...A leading insurance provider in Illinois is seeking a Claim Litigation Counsel to oversee complex legal matters related to insurance claims. The ideal candidate will have at least 3 years of relevant experience, particularly in insurance defense. Responsibilities include...SeniorClaims$23.16 per hour
...quotes and analyzing the structure of group contracts based on claims experience, employee group characteristics, and other factors. The... ...work. Complete rating and analysis work with guidance from senior staff. Calculate rates, employ various financial arrangements,...ClaimsContract workWork at officeLocal area$132.3k - $178.9k
Coverys is seeking a Manager, Claims to oversee all claims and litigation management for their claims professional staff. The role requires analyzing insurance coverage, evaluating claims, and managing staff to ensure effective case dispositions. Candidates should possess...SeniorClaims$200k - $250k
Aon Corporation is seeking an experienced Property Claims Consultant III to manage complex property and construction insurance claims. This role requires 12-15+ years of experience in the field and a Bachelor's degree. The consultant will lead the claim preparation process...ClaimsRemote work- Carrington is seeking a Loss Mitigation FHA Claims Specialist to manage FHA home retention claims. Responsibilities include preparing and filing claims, ensuring accuracy, and performing routine follow-ups. Candidates should have a high school diploma, preferably with...ClaimsRemote job
- Snapsheet is hiring a Total Loss Settlement Adjuster in Illinois. This remote position requires handling total loss claims and providing excellent communication with clients and partners. The ideal candidate will have 2-5 years of experience in the Insurance industry and...ClaimsRemote job
$83.08k - $127.95k
...A leading insurance provider is seeking a Senior Surety Claim Adjuster to conduct due diligence and evaluate exposures for commercial surety bonds. Responsibilities include investigating claims, analyzing bond forms, and setting reserves, along with providing comprehensive...SeniorClaimsRemote workFlexible hours- A leading property and casualty insurer is seeking a Trucking Claims Specialist to join their P&C Claims Casualty team. The role involves investigating and resolving commercial auto liability and physical damage claims with a focus on trucking exposures. Ideal candidates...Claims
$110k - $160k
...Job Description The Fraud Risk Management Senior Manager role leads the Fraud Risk and... ...initiation of enterprise control inventory and loss analysis, and management of control gap... ...first‑line fraud‑fighting agencies in Claims, Product, Underwriting, and other Family...SeniorClaimsWork from home- ...Are you a seasoned claims professional with a passion for navigating complex cases? MEM Insurance is seeking a Senior Claims Representative to join our Claims team. In this pivotal... ...claims strategy. Claims Investigation & Loss Prevention Lead investigations into...SeniorClaims16 hoursTemporary workApprenticeshipRemote workFlexible hours
- Acrisure, LLC is seeking a Claims Analyst to manage multi-state workers' compensation claims. The ideal candidate will have skills in negotiation and claims management, along with the ability to maintain high levels of client trust and satisfaction. This role involves...SeniorClaims
- ...strong leader with over 5 years of relevant experience and expertise in strategic planning and communication. The advisor will guide senior customers, develop solutions, and present at industry events. The position offers a competitive salary range between $192,000 - $24...Senior
$39.57 - $62.29 per hour
Intermountain Health is seeking a Senior Clinical & Health Informaticist to enhance the healthcare experience through innovative informatics solutions. This position is responsible for conducting workflow analysis and engaging with clinical teams to improve EHR and HIT...SeniorHourly payFlexible hours$97.1k - $131.13k
A reputable insurance firm is seeking a Senior Claims Examiner in Illinois to manage complex commercial claims. The candidate must possess strong communication and negotiation skills and have 7-10 years of experience in Casualty claims. Responsibilities include assessing...SeniorClaims- A leading law firm in Illinois is searching for an experienced litigation attorney who thrives in courtrooms and excels in relationship-building. The candidate should possess a proven record of managing complex cases from start to finish, demonstrating strong communication...SeniorClaims
- A leading health organization in Springfield is seeking a Marketing Specialist to manage member engagement and support marketing strategies. The role focuses on campaign execution, customer segmentation, and cross-functional collaboration, ideal for candidates with 5 years...SeniorRemote jobWork at office3 days per week
$113k - $132k
Cognizant is seeking a Senior Facets Configuration Analyst to support healthcare claims processing. This remote position involves configuring Facets components, validating claim outcomes, and working with cross-functional teams. Required qualifications include hands-on...SeniorClaimsRemote job- Pfizer Belgium is seeking a Senior Manager, Field Medical, non-MD to provide expertise across U.S. geographies. Responsibilities include developing medical strategy, engaging healthcare professionals, and optimizing patient-centric communications. An advanced scientific...SeniorRemote work
- Arch Insurance Group Inc. is looking for a Senior Claims Examiner for the Casualty Team, focusing on New York Labor Law claims. This role requires 3-5 years of commercial claims experience, exceptional communication skills, and the ability to manage caseloads effectively...SeniorClaims
- Arch Insurance Group Inc. is seeking an experienced claims manager to oversee multi-line claims operations in Illinois. The ideal candidate will have at least twelve years of experience, excellent communication skills, and the ability to manage risk and ensure compliance...SeniorClaims
$96.3k - $175k
Zurich North America is seeking a Complex Liability Claims Manager for its Multinational General Liability Team. The role involves leading a team of claims professionals in managing complex high exposure claims and ensuring development and performance improvement. Located...SeniorClaimsRemote jobFlexible hours- TrueNorth is seeking a Senior Claims Specialist to join our Risk & Workforce Solutions team, based in any of our office locations: Cedar Rapids... ..., severe, and catastrophic claims, collaborating with the loss prevention team to identify trends and recommend best...SeniorClaimsFull timeWork experience placementWork at officeLocal areaFlexible hours
$46.99k - $122.4k
...a Fraud Investigator in Illinois. This role involves handling complex cases involving behavioral health, investigating fraudulent claims, and preparing cases for review. The ideal candidate has 3 years of experience in health care fraud and proficient skills in Microsoft...SeniorClaimsFull timeWork at office$70k - $100k
Hispanic Alliance for Career Enhancement is looking for a General Liability Claims Team Lead in Illinois to supervise multiple teams handling liability claims. The role includes managing examiner workloads, providing training, and ensuring compliance with quality standards...SeniorClaims- A leading risk management firm is seeking a Senior Claims Specialist to join their team in Illinois. This role involves managing complex claims and advocating for favorable outcomes with insurance carriers. The ideal candidate should have 8 years of claims experience, strong...SeniorClaims
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