Senior Claims Lead: Stop-Loss & Health
Sun Life Financial
Sun Life Financial is seeking a Senior Manager for its Stop Loss and Health Claims unit. This role involves overseeing complex claims operations, leading a high-performing team, and collaborating with key partners to enhance customer service. The ideal candidate has over 5 years of experience in medical stop loss or health insurance claims and proven leadership skills. The position offers a hybrid work model, competitive salary, and an annual incentive award based on performance. #J-18808-Ljbffr Sun Life Financial
$68.2k - $102.3k
Crains Cleveland is seeking a Senior Manager, Stop Loss and Health Claims to lead their dynamic claims unit. This role involves overseeing complex claims operations and managing a talented team to drive customer service excellence. The ideal candidate will have 5+ years...SeniorClaims$68.2k - $102.3k
...that balances in-office collaboration with the flexibility of virtual work in the contiguous states plus AK. The Senior Manager, Stop Loss and Health Claims leads our dynamic claims unit. In this critical role, you will oversee complex claims operations, manage a high‑...SeniorClaimsWork at officeLocal area$68.2k - $102.3k
...disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have... ...contiguous states plus AK. The opportunity: The Senior Manager, Stop Loss and Health Claims leads our dynamic claims unit. In this critical role,...SeniorClaimsWork at officeLocal areaFlexible hours- Sun Life is searching for a Senior Manager, Stop Loss and Health Claims in Hartford, Connecticut. In this role, you will lead our dynamic claims unit, oversee complex claims operations, and manage a high-performing team. The ideal candidate will have over 5 years of experience...Claims
$23.16 per hour
...This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality... ...Required ~5 years of relevant, progressive experience in health insurance claims ~3 years of prior experience...SeniorClaimsFor contractorsWork at officeLocal area$74.9k
...Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio... ...with: Underwriting, Actuarial, Claims, Compliance, IT, and externally with Occupational... ...entries to record premiums, expenses, losses, and commissions. Analyze financial data...SeniorClaimsRemote jobFlexible hours$78.6k - $117.9k
...management, life, supplemental health, medical stop-loss insurance, and healthcare... ...The opportunity: In the Senior Clinical Risk Consultant... ...professional experience to review claims, underwriting prospects and... ...and sick time, market-leading paid family, parental and...SeniorClaimsWork at officeLocal areaFlexible hours2 days per week$129.2k - $193.8k
Sun Life Financial in Hartford, CT is seeking a Director, Stop Loss Claims. This role is vital for managing multi-site claims operations and improving client experience. The ideal candidate will have over 7 years of Stop Loss claims experience, leadership capability, and...Claims- ...adjusting experience. The role involves executing appraisal assignments, performing loss inspections, and preparing appraisal-related documentation. In this position, you will analyze claims, communicate with opposing appraisers, and provide status updates. A bachelor's...SeniorClaims
$53.4k
...Business Unit (SBU) within Accident & Health encompasses multiple profit centers, including Stop Loss, Managed Care, and Ancillary... ...Assistant to support the Senior Vice President (SVP) responsible... ..., Legal, Regulatory, Actuarial, Claims, Finance) and Underwriting What...SeniorClaimsWork experience placementWork at office$108.8k - $163.2k
...Sr Claims Analyst FL - CV08DE We're determined to make... ...The Global Financial Lines Senior Claims Analyst - Allied Health Professional Liability manages... ...escalate matters to Team Lead/management per escalation... ...knowledge of claim loss cost management initiatives...SeniorClaimsTemporary workWork at officeRemote work3 days per week$98.4k - $141.6k
...Senior Claim Examiner The Senior Claim Examiner role, under an appropriate level of direction... ..., and direct investigation into loss facts and extent of third-party damages.... ...insurance, personal accident and supplemental health insurance, reinsurance, and life...SeniorClaimsFull timeTemporary workLocal area$101k - $151.5k
...management, life, supplemental health, medical stop-loss insurance, and healthcare... ...As the Associate Director, Claim Support and Development, you... ...Engage regularly with senior leadership, business stakeholders... ...and e-learning modules. Lead and manage Process Analysts...ClaimsWork at officeLocal areaFlexible hours2 days per week$19 - $23 per hour
...Senior Reporting Claims Analyst Are you early in your career and looking to deepen your expertise in U.S. health insurance claims? Join our team as a Senior Reporting Claims Analyst, where you'll contribute to meaningful work, learn from experienced colleagues, and...SeniorClaimsHourly payWork experience placement$129.2k - $193.8k
...absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.... ...ClaimsResponsible for our multi-site claims organization, providing strategic leadership... ...high levels of client service· Lead projects to improve claims processing...ClaimsLocal areaFlexible hours2 days per week$97.9k - $130.9k
Loss Control Consultant - Territory from Hartford, CT to Buffalo, NY page is loaded## Loss... ...our deductible program. Our service in claims and loss control is second to none. We’ve... ...Management (ARM), Certified Safety and Health Management (CSHMS), Associate Loss Control...SeniorClaimsFull timePart timeSeasonal workWork from homeNight shift- CVS Health in the United States is seeking a Senior Quality Engineer to define the quality engineering strategy for ACAS benefits testing. This role involves... ...in healthcare technology with strong experience in claims adjudication systems and quality engineering....SeniorClaimsFlexible hours
$134.62k - $201.25k
...new products for better health worldwide." Otsuka... ...everyday health. The Senior Manager, Employee Relations... ...related to employee claims, navigate change, and help... ...take an active role in leading change. Strategic... ...for any claims, losses, damages or expenses resulting...SeniorClaimsTemporary workWork at officeLocal areaWorldwideFlexible hours- ...Syneos Health/ inVentiv Health Commercial LLC is looking for a Senior Clinical Project Manager dedicated to inflammation and Phase 2b studies. This role involves leading complex global clinical trials, ensuring operational success across multiple regions. The ideal candidate...SeniorRemote work
- ...Healthcare Ba Senior Associate Consultant SonSoft Inc. is a USA based corporation duly organized under the laws... ...Expertise At least 2 years of experience in Health Care Domain preferably in Channel, Claims, Medicare and Govt Programs domains. At least 2 years...SeniorClaimsPermanent employmentFull timeH1b
$22.3 - $35.2 per hour
...Lead Coordinator, Collections About Navista We believe in the power of community... ...What Collections contributes to Cardinal Health Finance oversees the accounting, tax,... ...ensuring accurate and timely processing of claims, including denials and the maximation of...ClaimsHourly payTemporary workWork at officeLocal areaImmediate startFlexible hours$118.7k - $218.6k
PowerToFly is seeking a Senior Consultant in Health Insurance focusing on Risk Regulatory & Compliance. This role involves reviewing medical records, conducting claims appeals, and applying coding standards such as ICD-10 and CPT. Required qualifications include a Bachelor...SeniorClaims$171k - $249k
...Communicate and present findings to team and senior management to ensure successful... ...of insurance, including policy, coverage, claims, and regulation. Property insurance knowledge... ...insurance, personal accident and supplemental health insurance, reinsurance, and life...SeniorClaimsLocal area$118.7k - $218.6k
Senior Consultant, Health Insurance - Risk Regulatory & Compliance Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate... ...to value creation. Work you'll do Review medical records, claims documentation, and benefit materials to support accurate determinations...SeniorClaims$82.94k - $182.55k
...CVS Health Project Management Specialist We're building a world of health around every... ...in healthcare. ~ Experience in Medicare claims and claims processing requirements. ~... ...reviews. ~ Minimum of 3 years of experience leading projects or initiatives, including...SeniorClaimsHourly payFull timeTemporary workWork experience placement$115k - $140k
A leading insurance firm in Farmington, Connecticut is seeking a Claims Specialist to investigate, evaluate, and resolve claims against various insurance policies. Responsibilities include managing a range of claims, analyzing coverage, and representing the firm in mediations...SeniorClaims$76.2k - $114.3k
...absence management, life, supplemental health, medical stop-loss insurance, and healthcare... ...plus AK. The opportunity: The Senior Manager, Insurance and Claims Advocacy is a pivotal leader within... .... In this role, you will lead a comprehensive advocacy program...SeniorClaimsLocal areaFlexible hours$78.4k - $107.8k
Humana Inc is looking for a Senior Provider Contracting Professional to initiate and negotiate contracts within Indiana's Medicaid and... ...and excellent communication skills. You will work with Behavioral Health providers, analyze contracts, and maintain documentation while...SeniorRemote job- Cigna Health and Life Insurance Company in Bloomfield, CT, is seeking an Implementation Manager to oversee client accounts within the Middle Market. You will manage the on-boarding process, facilitate implementation meetings, and serve as the liaison between clients and...Senior
- Highmark Health is seeking a Financial Analyst to conduct financial analyses and prepare forecasts. The role requires a Bachelor’s degree... ..., and proficiency in MS Excel. Responsibilities include leading financial analysis projects, ensuring accurate reporting, and advising...SeniorWork at office
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