Remote Stop-Loss Claims Analyst | Fast, Precise Processing
Questpro
- Remote job
Questpro is seeking a Remote Stop Loss Claims Analyst to manage claims processes and eligibility determinations. The role involves interacting with internal teams, clients, and carriers to ensure timely processing of stop loss claims, and requires 3–5+ years of relevant experience in healthcare claims. The ideal candidate possesses strong analytical skills, attention to detail, and proficiency in Microsoft Office. This is a fully remote position open to candidates in the US, with a preference for California and Arizona. #J-18808-Ljbffr Questpro
$23.16 per hour
...JOB SUMMARY This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and... ...~3 years of experience in a Stop Loss Claims Analyst role. SKILLS Ability to communicate concise...Remote workFor contractorsWork at officeLocal area$70k - $80k
...products, including employer stop loss, benefit captives, provider... ...Responsibilities As a Stop Loss Claims Analyst , you’ll perform quality... ...position can either be fully remote (if not within commutable... ...education We'll count on you to: Process an average of 5 to 7 claims...Remote workFull timeWork at office- ...managing the full lifecycle of stop loss claim submissions with minimal... ..., and quality in the claims process, serving as a trusted partner... ...process. • Assists claims analysts by sharing knowledge and... ...Preferred location: Plano but open to remote #LI-DG2 #LI-MM4Remote work
$23 - $24 per hour
...Stop Loss Claims Specialist I-Specific Fully Remote Allied Benefit Systems Overview Salary Range $23.00 - $24.00 Hourly Position Type Full Time Category... ...completion of the interview selection and process. It is at the Company's discretion to determine what...Remote workHourly payFull timeContract workWork experience placementWork at officeWork from home$88k - $145k
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: $88,000-145,000 Opportunity... ...relationships. Support process improvement through negotiation...Remote workFull timeWork experience placementWork at officeWork from home- ...Atlanta, GA Work Arrangement: Hybrid or Remote The salary range for this role is: $76,000-125,500K Claims Specialist - Accident and Health (Medical Stop Loss) The Opportunity The purpose of... ...Analytical Thinking Business Process Improvements Claims Settlement Critical...Remote workFull timeWork experience placementWork at officeWork from home
$54.1k - $81.2k
...supplemental health, medical stop-loss insurance, and healthcare navigation... ...is responsible for reviewing claims, interpreting and comparing... ...to five years’ experience processing first dollar medical claims... ...underwritingAbility to work in a fast-paced environment;...Contract workWork at officeLocal areaFlexible hours$34.8k
...Claims Support Specialist Since 2000, Crum & Forster's Accident... ...to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary... ...Phoenix metro area, but open to remote for the right candidate. We... ...: Information collected and processed as part of your career profile...Remote workWork at office$90k - $110k
...products, including employer stop loss, benefit captives, provider stop... ...position can either be fully remote (if not within commutable... ...Company’s clinical, actuarial, claims and distribution departments,... ...clearly articulate thought process around risk selection and pricing...Remote workFull timeWork at office- Allied Benefit Systems, Inc. is seeking a Stop Loss Claims Specialist II to manage medical stop loss claims and ensure reimbursements from... ...communication skills, and proficiency in Microsoft Office. This fully remote position offers a competitive salary and generous benefits...Remote jobWork at office
- ...Underwriter specializing in stop loss insurance to join our... ..., AZ area working remotely ; however, highly qualified... ...group data, including claims experience,... ...Contribute to underwriting process improvements, product enhancements... ...effectively in a fast‑paced, growth‑oriented...Remote workWork at office
- ...America) This position is responsible for managing the stop‑loss premium and revenue payment processes, reconciliation, reporting, facilitating onboarding/... ...Looking For We seek passionate individuals who thrive in a fast‑paced, collaborative environment. If you value...Full timeContract workTemporary workWork at officeWork from homeShift workDay shift
$24 - $26 per hour
Role Description The Stop Loss Claim Specialist II (Specific) is responsible for preparing and... ...Training team members regarding departmental process and workflows. ~Other duties as... ...computer work. Work Environment Remote Benefits ~Competitive Benefit Package...Remote workFull timeWork at office$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 maintaining client relationships and ensuring adherence to standards. The successful candidate will have 5 years of health insurance...Hourly payWork at office- Sun Life Financial in Kansas City is seeking a Claims Specialist to manage Stop Loss claims. The role involves reviewing claims against contracts, ensuring... ...candidate should have 3-5 years of medical claims processing experience, strong communication skills, and knowledge...
- Berkley, located in Overland Park, Kansas, seeks a Stop Loss Claims Analyst to evaluate claims for eligibility and ensure high processing accuracy. The role offers a hybrid work model with competitive compensation and extensive benefits. The successful candidate will have...Work at office
$57.74k - $65k
...Stop Loss Claims Analyst Marsh McLennan Agency's East Region is a leader in the... ...manage the stop loss claims process for the MMA Stop Loss Center... ...to multi-task and work in a fast-paced environment;... ...position is not available for remote work from Colorado. The applicable...Work experience placementInterim roleLocal areaFlexible hours- 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 job
$135k - $150k
...financial analysis of employer groups. Candidates should have a Bachelor’s Degree and 5+ years of underwriting experience, preferably in stop loss and captive settings. The position offers a hybrid work model along with a competitive salary between $135,000 and $150,000...Remote job- ...Underwriter to evaluate and manage risk for our Massachusetts remote team. The role involves making recommendations to protect financial... ...years of underwriting experience, and proficiency in Medical Stop Loss Underwriting. The position offers a competitive salary,...Remote job
$60k - $70k
Medical Stop Loss Underwriter - Remote! A growing and innovative organization in the healthcare insurance... ...and analytical Medical Underwriting Analyst to support its Stop Loss underwriting... ...guidelines Analyze specific and aggregate claims experience and risk parameters...Remote jobImmediate start- Prudential Annuities Distributors (PAD) seeks a Lead Medical Stop Loss Underwriting Specialist based in Newark, NJ. The role involves overseeing underwriting activities, evaluating risk, and making decisions that enhance product profitability and company reputation. The...Remote job
- Claims Specialist - Accident and Health Location: USA - MA, Marblehead; Atlanta, GA Work Arrangement: Hybrid or Remote Salary range: $76,000-125,500K Primary Details Time Type: Full time... ...Skills Analytical Thinking Business Process Improvements Claims Settlement...Remote workFull timePart timeWork experience placementWork at officeWork from home
$88k - $145k
...Time Type: Full Time Worker Type: Employee Senior Claims Specialist- Accident & Health (Medical Stop Loss) Opportunity Provide exceptional claims service to... ...team to encourage partner relationships. Support process improvement through negotiation and dispute resolution...Full timeWork experience placementWork at officeWork from home- Summit Consulting is looking for a Medical Stop Loss Underwriter to work remotely in the United States. This role offers the opportunity to engage deeply with underwriting and data systems, playing a crucial role in evaluating risk factors and supporting data analysis....Remote job
$50k - $60k
...including employer stop loss, benefit captives, provider... ...office and 1 day remote where it makes sense... ...The Claims Correspondence Analyst will serve as a first... ...multiple priorities in a fast‑paced environment.... ...experience in claims processing, healthcare administration...Remote workWork at office- ...locations will be considered. Job Summary The Stop Loss Underwriter is responsible for... ...collaborates with sales, clinical, policy, and claims teams to deliver sound underwriting... ...required to complete post‑offer verification processes related to the role and in accordance...Contract workImmediate startFlexible hours
$21 - $24 per hour
Personify Health in Tempe, Arizona is seeking a Stop Loss Specialist to manage accurate and timely stop loss filings that protect clients... ...experience in healthcare operations, and knowledge of claim processes and medical terminology. The position offers a competitive hourly...Hourly pay$21 - $24 per hour
...to be the engine behind accurate, timely stop loss filings that protect clients and recover... ...it takes someone who knows how to move a claim from eligibility assessment to filed submission... ...'re the operational core of the filing process, managing spec claimants, tracking...Hourly payContract workWork at office- A leading healthcare provider is seeking a knowledgeable claims analyst to review and process Stop Loss claims according to established standards. The successful candidate will build client relationships, educate clients, and analyze claim losses, ensuring compliance with...
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