Remote Claims Support Specialist - Medical Stop‑Loss
Crum & Forster
- Remote job
A leading insurance provider is hiring a Claims Support Specialist in the Phoenix area to coordinate claims intake and assist the claims team. This role requires strong organizational skills and a commitment to customer service. The candidate should have a high school diploma and office experience, ideally in medical claims. The company offers competitive compensation, benefits, and opportunities for career development in a supportive environment. #J-18808-Ljbffr Crum & Forster
$34.8k
...service platform. Our claims and risk... ...client service and support. In addition to our... ...special risk and medical solutions, A&H works... ...needs in Employer Stop Loss, Excess Medical, Life... ...of Claims Support Specialist is a unique opportunity... ...area, but open to remote for the right...Remote workMedicalWork at office- ...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: $88,000-145,00... ...senior technical guidance and support. Your new Role: Provide...Remote workMedicalFull timePart timeWork experience placementWork at officeWork from home
$70k - $80k
...Stop Loss Claims Analyst Berkley Accident and Health is a risk management... ...can either be fully remote (if not within commutable distance... ...of innovation, teamwork, supportive colleagues and leaders willing... ...contractual provisions to the medical facts and specifications of...Remote workMedicalFull timeWork at office$48.3k
...customer service platform. Our claims and risk engineering services... ...excellent client service and support. In addition to our robust... ...spans both special risk and medical solutions, A&H works on an international... ...to needs in Employer Stop Loss, Excess Medical, Life, and...Remote workMedicalWork at office$23.16 per hour
...evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround... ...provides client counseling and support services. Assists in the client... ...claims ~3 years of experience with medical terminology Preferred: ~...Remote workMedicalFor contractorsWork at officeLocal area- ...Responsible for managing the full lifecycle of stop loss claim submissions with minimal oversight.... ...with Lockton standards. • Supports reporting efforts related to claim volumes... ...Requirements: Preferred location: Plano but open to remote #LI-DG2 #LI-MM4Remote work
$23.16 - $35.88 per hour
...health insurance company in Des Moines, Iowa seeks a Claims Analyst to review and process Stop Loss claims per established standards. Responsibilities include... .... Preferably, a Bachelor's degree and knowledge in medical terminology are desired, along with strong...MedicalHourly pay$99k - $186k
...and authority levels, supporting the development of a profitable... ...New York City, NY; or remote Work Arrangement:... ...Ensure adherence to loss ratio goals and achieve... ...relevant experience in Stop Loss Underwriting experience... ...childbirth, or related medical conditions; protected...Remote workMedicalFull timePart timeWork experience placementWork at officeWork from home2 days per week3 days per week$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 brings...MedicalWork at office$90k - $110k
...products, including employer stop loss, benefit captives, provider stop... ...’s clinical, actuarial, claims and distribution departments,... ...authority. Establish the basics of medical underwriting by training with... ...position can either be fully remote (if not within commutable...Remote workMedicalWork at office- ...A leading insurance provider is seeking a Sr. Claims Support Specialist to manage total loss claims and provide exceptional customer service. This role... ...negotiating settlements. The position offers benefits like medical, dental, vision, and 401k. Join our team where every...Remote workMedical
$90k - $110k
...experienced Commercial Auto Large Loss Claims Specialist to join their team. This... ...auto, trucking, and medical transport claims involving... ...standards. This is a fully remote opportunity offering the chance... ...claims within a dynamic and supportive environment Key...Remote workMedicalFlexible hours$51.11k - $97.73k
...BlueCross BlueShield of South Carolina is hiring for a remote position focused on auditing and authorizing medical stop loss claims. The ideal candidate will have at least 6 years of managed care or reinsurance claims experience and an Associate's degree. Responsibilities...Remote workMedical$54.1k - $81.2k
...management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We... ...position is responsible for reviewing claims, interpreting and comparing contracts,... ...contain the required documentation to support the Stop Loss claim determination. They...MedicalContract workWork at officeLocal areaFlexible hours$100k - $145k
...client is seeking an experienced Large Loss Property Claims Examiner to manage a portfolio of complex... ...claim resolution. This is a fully remote position (must reside in a New England... ...Comprehensive benefits package including Medical, Dental, Vision, and Life Insurance #J-...Remote workMedical- Job Category: Claims Requisition Number: SENIO011166 Posting Date... ...Grove, IL 60515, USA The Large Loss Workers’ Compensation Adjuster... ...injured employees, employers, medical providers, attorneys, and... ...claim resolution. This is a remote role. Essential Functions & Responsibilities...Remote workMedicalMinimum wageFull timeWork at officeLocal areaFlexible hours
$137k - $168.5k
A leading insurance firm is seeking an AVP Underwriting Manager for Medical Stop Loss Insurance responsible for leading an underwriting team, developing underwriting strategies, and managing the overall underwriting process. The ideal candidate should have at least 8 years...Remote jobMedical- ...A major healthcare solutions provider is seeking a remote Patient Support Medical Claims Processing Representative. In this role, you will handle medical claims, ensuring the documentation is correct and following specific guidelines for approval or rejection. The position...Remote workMedicalFull timeContract work
$23 per hour
...A leading global provider of clinical research services is seeking a Patient Support Medical Claims Processing Representative for a remote position. Responsibilities include receiving and vetting medical claims, ensuring proper documentation, and determining claim payments...Remote workMedicalHourly pay- Southcarolinablues is looking for a Stop Loss Registered Nurse to evaluate and manage... ...of illness for underwriting and claims. This fully remote role requires 10 years of experience,... ...including 5 years clinical and 5 years medical management. The position offers great...Remote jobMedical
- ...Signature Performance is seeking a Remote Customer Service Representative to assist healthcare providers, veterans, and beneficiaries... .... Responsibilities include answering calls, researching medical claims, and documenting activities within VA systems. Candidates must...Remote workMedical
- ...financial services company in Baltimore, Maryland, is seeking a Claims Processor to manage Stop Loss claims. The role involves reviewing claims, ensuring eligibility, and applying contractual provisions based on medical records. Candidates should possess a Bachelor's degree...Medical
- ..., Massachusetts, is seeking a Claims Processor to review and determine eligibility for Stop Loss claims. The ideal candidate will... ...3-5 years of experience in medical claims processing and strong communication... ..., paid family leave, and a supportive work environment. #J-18808-...MedicalFlexible hours
- ...BlueShield of South Carolina is seeking a Stop Loss Registered Nurse to evaluate and... ...of illness for underwriting and claims. This full-time position is fully remote, allowing for a flexible work... ...requires extensive experience in medical management and a strong background...Remote jobMedicalFull timeFlexible hours
$54.1k - $81.2k
...government benefits. This position is responsible for reviewing stop loss claims, interpreting contracts, ensuring required documentation, and... ...based on contract provisions, plan specifications, and medical records. Identify legal risk and regulatory guidelines (HIPAA...MedicalContract workWork at office$51.11k - $97.73k
Southcarolinablues is looking for a Sr Stoploss Claim Auditor in Jacksonville, Florida. In... ...audit and authorize reimbursement of medical stop loss claims while providing exceptional... ...years of claims experience. You'll work remotely, analyzing claims and identifying cost...Remote jobMedical$48.3k - $90.8k
A leading insurance provider is seeking a Medical Claims Specialist in Phoenix, AZ. This role involves reviewing claim submissions, communicating... .... Candidates should have at least 3 years of medical stop loss claims experience and a Bachelor's degree. The position offers...Medical$14.09 - $16 per hour
...A leading insurance consultancy is seeking a Customer Service Representative to join its medical claims department. This remote position involves managing incoming calls, providing claim information, and resolving payment issues while adhering to HIPAA regulations. The...Remote workMedicalHourly payFull time$23 per hour
...solutions is seeking candidates for a medical claims processing role in Houston, Texas. This... ...full-time status. Candidates will work remotely from anywhere in the U.S. Responsibilities... ...medical claims, providing customer support, and identifying operational challenges...Remote workMedicalHourly payFull time- ...brokers and consultants, stop loss carriers, and various... .... This role is remote; however, it will require... ...underwriters, actuaries, and claims professionals, to... ...Group, we’re committed to supporting every aspect of... ...teammates enjoy access to medical, dental, vision, life,...Remote workMedicalFull timeTemporary workWork at officeWork from homeShift workDay shift
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