Stop-Loss Claims Navigator
Yuzu Health Inc
Yuzu Health Inc. in New York City seeks a Stop Loss Specialist to coordinate all activities related to stop loss insurance for self-funded employer groups. You will ensure timely submission of stop loss claims, manage claimant reporting, and serve as the liaison between the TPA, carriers, brokers, and internal teams. Ideal candidates have 2–5 years in stop loss or medical claims, strong attention to detail, Excel and reporting skills. #J-18808-Ljbffr Yuzu Health Inc
$80k - $90k
...innovative health plans centered on care navigation, capitated primary care, and real-time... ...plan. We do this by efficiently processing claims, ensuring regulatory compliance, and... ...service and innovation. The Role: The Stop Loss Specialist is responsible for coordinating...ClaimsContract workWork at office- Brown & Brown, Inc. is seeking a Health Claims Stop Loss Claims Auditor to conduct in-depth audits of high-complexity claims files for accuracy, compliance with procedures, and regulatory requirements. The role involves reviewing claims for accuracy, documenting findings...Claims
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Medical Stop Loss Underwriting Practice Lead - Accident & HealthWho we are:American International Group, Inc. (AIG) is a leading global... ...maintain alignment of partnership expectations.Analyze group medical claims data, demographics, and plan designs to assess risk and...ClaimsFull timeWork at office- Imagine360 is seeking a Stop Loss Claims Auditor to join the team! This position is part of the Stop Loss Department and supports multiple functions within the department including, but not limited to, claims examination, auditing, reviewing, and processing. The person...ClaimsTemporary workWork at officeRemote work
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...employees grow with us. Summary of Position The Patient Navigator is responsible for making the patient experience smoother... ...and processing of all patient referrals. Responsible for claims charge review edits related to the referrals, following protocols...ClaimsHourly payWork experience placement- ..., Long Island City, NY 11101. You will virtually inspect damages, investigate coverage, prepare estimates, and settle claims, focusing on water losses. The position emphasizes empathetic customer service, independent work, and clear documentation in our claims system....ClaimsTraineeshipWork at officeRemote workMonday to Friday
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...Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage... ...assess Property Damage estimates, total loss evaluations, and related expenses to effectively... ...partner, which helps clients thrive by navigating the unexpected. The company’s expertise,...ClaimsContract workWork at officeLocal areaFlexible hours$131k - $169k
.... We’re data-driven and never stop iterating. If you’d like to work... ...in.Who You AreAs a Senior Claims Manager of Workers Comp (WC),... ...severity claims from First Notice of Loss through closure.Review... ...in multiple states, ability to navigate jurisdictional differences confidentlySolid...ClaimsCasual workWork at officeLocal area$85k
...funded health insurance, HSA, commuter benefits, 401(k), LOA, ADA claims, and COBRA: serving as the go-to resource for employee benefits... ...-funded health insurance plan, including claims monitoring, stop-loss reporting, plan performance analysis, and coordination with TPAs...ClaimsPermanent employmentWork at officeImmediate startWork from homeRelocationVisa sponsorship- ...outcomes. In insurance, our work spans claims document processing, aerial and satellite imagery analysis for underwriting and loss assessment, NLP model training for policy... ...defensibility in insurance workflows. Navigate complex multi-stakeholder environments: actuarial...Claims
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...Platform (EHP), which consolidates all claim administration-related workflows in one... ...service, assists with benefit and claims navigation and works directly with vendors. The Benefits... ...self-insured benefits plans and stop loss. Manage, review, validate and process life...ClaimsWork at officeLocal areaFlexible hours$104.8k - $192.3k
...EY's Forensics Insurance and Federal Claims Services practice specializes in helping... ...cyber incidents, and other catastrophic losses. We assist some of the most complex public... ...available coverages afforded to them. Navigate how to properly track and place costs within...ClaimsSummer holidayWork at officeFlexible hours$108k - $200k
...anticipate and embrace change. The ideal candidate will possess: Strong claims knowledge, Property experience is preferred Proven leadership (... ...they most need it, we want to know more about you! As a Large Loss Manager, you'll lead a Large Loss claims unit within a...ClaimsFull timeTemporary workPart timeCasual workWork at officeLocal areaWork from homeNight shift
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