Senior Stop-Loss Claims Analyst - Drive Client Outcomes
Broughton Group
Highmark Inc. is seeking a Senior Claims Analyst in Phoenix, AZ, to manage Stop Loss claims. As part of the team, you will review and process claims while ensuring compliance with regulations, evaluate Third Party Administrator claims, and enhance client satisfaction through effective communication. The ideal candidate should possess a high school diploma with considerable experience in health insurance claims. Strong organizational and problem-solving skills are essential for this role. Minimal travel may be required for training purposes. #J-18808-Ljbffr Broughton Group
$23.16 per hour
...evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround... ...Responsible for building positive client relationships, providing education... ...experience in a Stop Loss Claims Analyst role. SKILLS Ability to...SeniorFor contractorsWork at officeLocal area- ...significant impact in the world of health insurance? As a Senior Claims Analyst specializing in Stop Loss claims, you will play a crucial role in reviewing,... ...Reinsurance claims. You'll work to establish strong client relationships, educate clients, and analyze claim...SeniorWork at office
- ...Senior Underwriter - Medical Stop Loss Avon, CT; Houston, TX; Phoenix, AZ We are one... ...service, and expertise to our clients. As part of our ongoing... ...employer group data, including claims experience, demographics,... ...us to deliver the best outcome to our clients. JencapSeniorWork at officeRemote work
$34.8k
...Claims Support Specialist Since 2000, Crum & Forster's Accident... ...methods, along with excellent client service and support. In addition... ...tailored to needs in Employer Stop Loss, Excess Medical, Life, and... ...is encouraged and realized Drive and role model the A&H culture...SuggestedWork at officeRemote work- ...review the following job description: Drive sales growth and maintain strong client relationships with employee benefit brokers and consultants, stop loss carriers, and various clinical point... ..., underwriters, actuaries, and claims professionals, to develop comprehensive...SeniorFull timeTemporary workWork at officeRemote workWork from homeShift workDay shift
- A healthcare organization based in Phoenix, AZ, is seeking a claims analyst to review and process Stop Loss claims. The role involves building client relationships, analyzing claim losses, and ensuring compliance with policy standards. Candidates should have at least 5...Senior
$48.3k
...superior customer service platform. Our claims and risk engineering services are recognized... ...methods, along with excellent client service and support. In addition to our... ...of products tailored to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary and...Work at officeRemote work$46.7k
...customer service platform. Our claims and risk engineering services... ..., along with excellent client service and support. In addition... ...to needs in Employer Stop Loss & Excess Medical; and Ancillary... .... They will also assist more senior staff with case set up and making...Work experience placementWork at officeFlexible hours$23.16 per hour
...of group contracts based on claims experience, employee group characteristics... ...and growth-oriented outcomes. Responsibilities include... ...analysis work with guidance from senior staff. Calculate rates,... ...address specific risks. Flag clients who do not comply with risk management...Contract workWork at officeLocal area$48.3k - $90.8k
A leading insurance provider is seeking a Medical Claims Specialist in Phoenix, AZ. This role involves reviewing claim submissions, communicating... ...compliance. Candidates should have at least 3 years of medical stop loss claims experience and a Bachelor's degree. The position offers...$48.3k - $90.8k
...A leading insurance provider is seeking a medical stop loss claims specialist in Phoenix, Arizona. This role entails evaluating claim submissions, processing payments, and maintaining reporting standards while fostering collaboration within teams. The ideal candidate...Work at office$100k - $140k
...Senior Claims Specialist The Senior Claims Specialist is responsible... ...occasional travel to attend client service meetings, mediations,... ...position letters. Investigate losses and document all claim-... ...and Abilities: Strong drive and commitment to the role....Senior$78.1k - $109.4k
...employees everywhere! The ESIS Senior Claim Representative, under the... ..., to achieve optimal claim outcomes. QUALIFICATIONS Experience... ...standard procedures. ESIS/Client/Carrier Requirements:... ...covering both pre- and post-loss services. The pay range for...SeniorWork at officeLocal area$150k - $175k
...comfortable life after they stop working. We also provide personalized... ...in every stage of life. Senior Client Relationship Manager The... ...support fiduciary wellness, and drive timely execution of ongoing... ...deliver consistent, high‑quality outcomes. Essential Duties and...SeniorLocal area$108.8k - $163.2k
...Sr Claims Analyst FL - CV08DE We're determined to make a difference and... ...The Global Financial Lines Senior Claims Analyst - Healthcare and... ...current knowledge of claim loss cost management initiatives,... ...while negotiating a win/win outcome that supports The Hartford's...SeniorTemporary workWork at officeRemote work3 days per week- Chubb Ltd. is seeking an experienced claims adjuster in Phoenix, Arizona, to handle total loss claims with a focus on superior customer service and compliance with state guidelines. The ideal candidate will have a bachelor's degree, over five years of experience in insurance...Senior
$105k - $120k
...Our client, an A-rated Insurance Carrier, is seeking to add a Senior Commercial General Liability Claims Specialist to their team. This person would be... ...Liability, and Bodily Injury losses throughout the country.... ..., budgets and claim outcomes while considering the overall...SeniorRemote work$26.6 - $33.25 per hour
Westland Insurance Group Ltd. is seeking a Senior Insurance Advisor for their Scottsdale office. In this role, you will promote and educate clients about insurance products while managing complex cases and mentoring team members. With a commitment to growth, Westland offers...SeniorHourly payWork at officeFlexible hours$23.16 per hour
...structure of a contract for a group based on claims experience, characteristics of the... ...to other areas within the organization, clients, and possibly producers regarding one or... ...entry level position, with oversight by Senior Underwriters and/or Management until the...Contract workFor contractorsWork at officeLocal area$23.16 - $35.88 per hour
...based in Phoenix, Arizona, is seeking an Underwriter to manage renewing accounts and write new business while ensuring profitable outcomes. The role involves pricing quotes, analyzing risk, and preparing underwriting reports. Candidates should have a Bachelor's Degree...Hourly payWork at office- ...complaints, investigates and responds to client requests by email and written response. Completes... .... From Malvern to Melbourne, our mission drives us forward and inspires us to be our best... ...enabler to support long‑term client outcomes and enrich the employee experience. #J-18...SeniorWork experience placementVisa sponsorship
- ...Medicaid Client Manager Marsh Government Consulting is seeking a seasoned leader in Medicaid... ...clients, grow and defend accounts, and drive strategic market growth while managing... ...delivery issues, and ensure high-quality outcomes. Advise on client retention and...SeniorWork at officeRemote work3 days per week
- ...Senior Claims Customer Service Rep Immediate need for a talented Senior... ...all activities. Creates loss reports by securing information... ...repair shops or schedules drive-in appointments as appropriate... ...required for the position. Our client is a leading Insurance...SeniorContract workImmediate start
$115k - $160k
...Senior Manager, Client Accounting Operations Join Aprio's Client Accounting Services team and you... ...high-quality, consistent client outcomes. Client Relationship Management:... ...assigned teams and client portfolios. Drive alignment across workflow, capacity, and...SeniorFull timeLocal areaRemote workFlexible hours- ...improve their risk management outcomes, modernize their benefits programs... ...process Coordination of loss runs & experience... ...submissions Support obtaining client online portal quotes Draft... ...questions Coordination of claim escalation Position Specific...SeniorTemporary workWork experience placement
- ...Senior Claim Specialist Immediate need for a talented Senior Claim Specialist with experience... ...complex and catastrophic property losses. Makes decisions within delegated authority... ...Perform other duties as assigned. Our client is a leading Insurance Industry and we...SeniorContract workImmediate start
$100k
...the unique coverage and claims-handling needs of... ...Business Title(s): Senior Construction Defect Technical... ...superb results for our clients. EssentialResponsibilities... ...to the best overall outcome. Managing... ...determine whether the loss falls within the policy...SeniorFull timeLocal areaRemote work- ...Per Week Employment:Full-Time Level:Experienced (3+ Years WC Claims) ABOUT THE ROLE We are seeking an experienced Workers'... ...medical providers, defense counsel, and applicant attorneys to drive quality outcomes across your caseload. DUTIES & RESPONSIBILITIES Investigate...SeniorFull timeWork at officeRemote work2 days per week
$50k - $65k
...Overview Claim Representative, Medical Only Senior Location: Phoenix, AZ Schedule: 8:00am - 4:30pm (MST) Hybrid... ...CCMSI At CCMSI, we partner with global clients to solve their most complex risk... ...through Professional judgment – owning outcomes and solving problems with...SeniorHourly payWork at office1 day per week- ...transitions. You’ll: Conduct in-depth client assessments and program orientations Build... ...stories" highlighting positive client outcomes Collaborate with internal departments and... ...skills Arizona Driver’s License and a clean driving record for the last 3 years free of...SeniorPermanent employmentFull timeWork at officeLocal areaShift workAfternoon shift
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