Stop-Loss Health Claims Analyst - Hybrid Role
Sun Life
Sun Life U.S. embraces a hybrid work model that balances in-office collaboration with virtual work across the contiguous states plus AK. The role reviews claims, interprets contracts, disperses reimbursement, and ensures that all claims contain the required documentation to support the Stop Loss claim determination. The incumbent is accountable for developing, coordinating and implementing a plan of action for each claim accepted to ensure it is managed effectively and all cost containment #J-18808-Ljbffr Sun Life
$54.1k - $81.2k
...management, life, supplemental health, medical stop-loss insurance, and healthcare... ...Description: Sun Life embraces a hybrid work model that balances in-... ...responsible for reviewing claims, interpreting and comparing... .... The salary range for this role is competitive nationwide,...SuggestedContract workWork at officeLocal areaFlexible hours- ...Underwriter specializing in large group and stop loss. You will evaluate, price, and manage... ...for large employer-sponsored self-funded health plans, and develop capabilities, rate manuals... ..., and support strategic objectives. The role emphasizes advanced underwriting...Suggested
- ...Underwriter who has worked within large group and stop loss to join our growing team. The Large Group... ...for large employer-sponsored self-funded health plans. They will also be responsible for... ...and Aggregate coverages Analyze claims experience, large claimant details,...SuggestedWork experience placement
$96k - $144k
...partnerships, and continuous learning - this role was built for you. About the Role You will be at the heart of our U.S. Life and Health underwriting, applying evidence-based risk... ...markets Our company operates under a hybrid work model, with the expectation that employees...SuggestedTemporary workWork at officeRemote workRelocation packageFlexible hours3 days per week- Swiss Re is seeking a sharp Life & Health underwriter to join our U.S. team in a hybrid role, with up to 10% travel. You will apply evidence-based risk selection across medical, financial, and governance factors, partnering with clients and cross-functional teams to deliver...SuggestedRemote job
- ...Auto, General & Liability (AGL) Claims representative for the... ...KS office. The person in this role will handle and maintain all AGL... ...appraise damage for property losses or arranges for such appraisal... ...personal accident and supplemental health insurance, reinsurance, and life...Contract workWork at officeLocal area
- Zurich North America seeks a Senior Claims Specialist for its Commercial General Liability team. The role focuses on interpreting General Liability policies, evaluating... ..., flexibility, and competitive rewards within a hybrid work framework. #J-18808-Ljbffr Zurich NA
- Luminare Health is seeking a Senior Claims Analyst to support a Claim Unit and vendor staff, and act as a liaison for internal departments. The role covers adjudication and processing of life and disability claims, with emphasis on accurate determinations in accordance...
$18.07 - $33.92 per hour
At Luminare Health, our people are what set us apart. Their expertise... ...includes a variety of claim administrative and technical tasks... ...these tasks, the Senior Claims Analyst is responsible for all of the... ...being referred to one of our roles? If so, ask your connection at...Flexible hoursShift work- ...**** **Vanliner** **is looking for a** **Senior Claims Rep** **to join their team. This individual will work a hybrid schedule out of the Richfield, Ohio office.** **... ...relationships. To support this, employees in this role are expected to be on-site four days a week,...Full timePart timeSeasonal workWork at officeRemote work
- ...Representative in Chicago, IL to process disability claims and determine benefits, ensuring timely payments... ...with claimants and collaborate with the team in a hybrid work setting near our Center of Excellence. The role requires a high school diploma or GED (college preferred...Work at office
- ...Excess and Surplus unit starting June 1, 2027. This is a great entry‑level opportunity with hybrid work from the office Monday‑Wednesday and remote Thursday and Friday. The role involves evaluating risk, communicating pricing decisions, and building relationships with agents...Work at officeRemote work
$124k - $199.8k
...management such as actuarial pricing, claim or TPA oversight, reinsurance accounting... ...General Liability underwriting experience; loss sensitive underwriting experience... ...candidate’s qualifications***Location:This role will have a Hybrid Work arrangement, with the expectation...Full timeTemporary workWork at office3 days per week- ...delivering accurate, timely service. No prior experience is required as we provide comprehensive paid training and ongoing support to build the necessary knowledge and skills for success. This is a hybrid/remote role after training. #J-18808-Ljbffr Parmele Disability AdvocatesRemote work
- Progressive is seeking a claims adjuster trainee based in Overland Park, KS. This hybrid role combines in-office days with remote work, and includes full training in property damage, liability, and claims handling. You will build relationships over the phone, resolve a...TraineeshipWork at officeLocal areaRemote work
$72k - $141k
...has an opening for a Complex Claims Consultant handling Employment... .... Critical to success in this role is the ability to be highly organized... .../communicative. CNA offers a hybrid work environment in one of the... ...of significant risks and losses by completing loss summaries,...Full timeWork experience placementWork at officeLocal areaRemote workShift work- ...to some overlap in adjacent states. The role will include a renewal book of over $4 million... ..., personal accident and supplemental health insurance, reinsurance, and life insurance... ..., underwriting excellence, superior claims handling expertise and local operations globally...Local areaHome officeFlexible hours
- ..., complex wrap-ups, and joint venture projects nationwide. This role will be responsible for growing and developing the Central region... ..., and provide technical guidance to underwriters and account analysts. Support the development of both underwriting expertise and professional...Local area
- CCMSI in St. Louis, MO is seeking a Workers' Compensation Claims Representative I. This role requires 1-4 years of WC claims experience and involves... ...position is full-time with initial onsite training, then a hybrid schedule. You will investigate, adjust, negotiate...Full time
- The University of Kansas Health System in Olathe seeks a Risk Claims Analyst to support the Risk, Claims and Insurance Department. You will conduct research,... ...and supporting department operations. This full-time role requires an Associates degree and 5+ years in healthcare...Full time
$55k - $70k
Overview Workers' Compensation Claims Adjuster I Location: St. Louis, MO Schedule: Full-Time... ...technical claim handling skills. This role handles workers' compensation claims across... ...training, employees may transition to a hybrid schedule consisting of two days in the...Full timeWork at officeRemote workMonday to Friday3 days per week$124k - $199.8k
...management such as actuarial pricing, claim or TPA oversight, reinsurance accounting... ...General Liability underwriting experience; loss sensitive underwriting experience... ...candidate’s qualifications. Location This role will have a Hybrid Work arrangement, with the expectation...Temporary workWork at office3 days per week$124k - $199.8k
...seeking a Senior Executive Underwriter responsible for managing Captive programs and underwriting various insurance types. With a hybrid work arrangement, you'll analyze risk, manage client relationships, and support business growth. Ideal candidates will have 5+ years...- Claims Representative Location: Overland Park, KS. Work schedule-Hybrid- in office 3 days/WFH 2 Work Hours-8:00 am-5:00 pm. Interview-... ...KS office. The person in this role will handle and maintain all AGL... ...and appraise damage for property losses or arranges for such appraisal....Contract workWork at officeWork from home
- Job Description ESIS Claims Representative, WC, Dallas, Texas Key Objective: Investigate... ...containment strategies to help control loss costs while delivering consistent, high-quality... ..., personal accident and supplemental health insurance, reinsurance, and life...Temporary workWork experience placementLocal area
$95.14k - $142.08k
...Work Shift Multiple shifts available Overview: Sentara Health Plan is currently hiring a Senior Underwriter - Remote!... ...that balance competitiveness and profitability. This role applies deep expertise in claims analysis, actuarial concepts, and funding arrangements,...Permanent employmentFull timeTemporary workTraineeshipCurrently hiringRemote workShift work- ...to leverage medical knowledge to review claims, underwriting prospects and renewals, and... ...effective care options. This non-patient-facing role requires understanding of medical... ...underwriting, and sales teams. The position is hybrid, based in the contiguous states plus AK,...
$67k
...Brown & Brown is seeking a Claims Analyst to join our growing team! The primary role of the Claims Analyst is to... ...claim intake and first notice of loss processes, ensuring claims are reported... ...of our teammates, including: Health Benefits : Medical/Rx, Dental...Hourly pay- CVS Health Corporation is seeking a Registered Nurse to review and interpret clinical documentation... ..., apply clinical criteria for post-service claims, and coordinate resolutions independently with clinician support. The role also serves as a resource for customer service...
- ...sports & entertainment related building projects. The Role We Want You For The Corporate Insurance Claims Analyst supports the Corporate Insurance Department in... ...through. Ability to work with claim payments, reserves, loss runs, and other financial information. Professional...Contract workFor contractorsFor subcontractorWork at officeFlexible hours
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