STOP LOSS ANALYST
Bc&l Inc
This position works as part of the Stop Loss Team to ensure timely reporting and stop loss claim filing with the various stop loss carriers.Monitors members approaching/exceeding spec, including policies with advance funding.Monitors clients approaching/exceeding aggregate, including policies with accommodation.Generates various reporting and reviews for accuracy before distribution, both internally and externally, as assigned.Gathers supporting documentation from both internal and external entities.Compiles stop loss claim filings, to include all supporting information/documentation, and submits to the stop loss carrier to maximize reimbursement.Manages filings, through reimbursement, to include consideration of policy filing limitations.Communicate regularly with various departments, external vendors, clients, and carriers.Validates filing denials and prepares appeals when necessary, to ensure our clients are receiving the maximum reimbursement allowed under the policy #J-18808-Ljbffr Bc&l Inc
$150k - $200k
...****@*****.*** Our client is a profitable, rapidly growing health insurer seeking an experienced employer medical stop-loss specialist to help build its developing ASO and self-funded offering. This is a highly visible individual-contributor opportunity...SuggestedWork at officeRemote work- ...SUMMARY We are seeking an Actuary to own the pricing of Curative’s ASO (self-funded) product line, with primary focus on employer stop loss pricing - both specific (individual) and aggregate. Stop loss is sold exclusively bundled with Curative’s ASO/self-funded plan, so...SuggestedFull timeContract workRemote workFlexible hours
- Curative seeks an experienced Actuary to own pricing for its ASO/self-funded line, focusing on employer stop loss pricing (specific and aggregate). The role covers credibility, trend, and risk load, with collaboration across Underwriting, Sales, Account Management, Finance...SuggestedRemote job
$125k - $180k
...organizations. Since 2011, our mission hasn’t changed — we’re here to stop breaches, and we’ve redefined modern security with the world’s... ...the Role: CrowdStrike is seeking a Senior Business Systems Analyst - ServiceNow to join its IT Service Management Office. In this role...SuggestedFull timeWork experience placementWork at officeLocal areaRemote work- ...Data Security Analyst 1Austin, TX 78751 (Remote within TX)12 months Contract with possibility to extensionResponsible for administering, operating data loss prevention tools to include incident response.Knowledge and experience with Digital Guardian DLP.Participate in...SuggestedContract workRemote work
$61.04k
Clinical Research Operations Analyst II Job posting within Dell Medical School’s Clinical Trials Office. Job Details The Clinical Trials... ...the third day of employment. Failure to do so will result in loss of employment at the university. E-Verify E-Verify Poster (English...For contractorsWork at office- ...tools. Over 80 of the Fortune 100, 10,000 large enterprises, and millions of smaller organizations trust Proofpoint to stop threats, prevent data loss, and build resilience across their people and AI workflows. Our mission is simple: safeguard the digital world and empower...Full timeImmediate startRemote workFlexible hoursShift work
$77k - $129k
...Public TrustWhat You Will Do:Guidehouse is seeking a Business Analyst to support Agile software development projects for federal and... ...contact ****@*****.***. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings...Full timeFlexible hours- ...Business AnalystThe Business Analyst performs complex database and application development work. This work involves developing design documents... ...processes for the expansion and renovation of the existing Loss, Use, and Conservation (LUC) application, primarily in...Work at office
- ...Join Our Team as a Senior Business Analyst in Austin, TX! Are you ready to make a significant impact on the education sector in Texas... ...not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at...Remote work
$89k - $148k
...check the validity of correspondence you have received, please contact ****@*****.***. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.Guidehouse does not accept...Full timeFlexible hours- ...Benefits and actuary services? If so, being an Insurance Actuary Analyst with Frost could be for you.At Frost, it’s about more than a... ...depth analysis of client claims experience (medical, pharmacy, stop-loss), producing budget vs. actual reporting and actionable insights...Full time
$75k
Job Posting Title Controlled Research Compliance Analyst, Office of Research Support and Compliance Hiring Department Office of Research... ...than the third day of employment. Failure to do so will result in loss of employment at the university. E-Verify The University of...Contract workFor contractorsWork at officeImmediate startRemote workAfternoon shift- ...check the validity of correspondence you have received, please contact ****@*****.***. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.Guidehouse does not accept...Full timeWork experience placementFlexible hours
- ...Reporting, and Delivery Readiness for site rebuild efforts. Position Summary Client is seeking a highly motivated Business Systems Analyst (BSA) Contractor to support a site rebuild initiative, it is a multi-year digital transformation effort focused on modernizing clients...For contractorsRemote work
$52k
Business Analyst I Hiring Department Enterprise Technology - Engagement and Experience Position Open To All Applicants Weekly Scheduled... ...than the third day of employment. Failure to do so will result in loss of employment at the university. E-Verify The University of...Full timeFor contractorsWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift workNight shiftWeekend work- ...tracking across diverse sales teams. Support recurring forecast reviews with clean data structures that help leadership evaluate win/loss rates, coverage, and performance trends. Required Qualifications Experience: 4+ years of experience in Sales Operations, Revenue...Worldwide
$102k - $170k
...check the validity of correspondence you have received, please contact ****@*****.***. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.Guidehouse does not accept...Full timeRemote workFlexible hours- Career Opportunities: Sr Business Analyst (94577) Requisition ID 94577 -Posted - Freeman - Country (1) - Location (5) - Function (1) -... ...Sales Analysis report, explaining the drivers behind wins and losses across the business. Improve and modernize. Streamline manual,...Full timeWork at officeLocal area2 days per week3 days per week
$55 - $65 per hour
...willing to travel to Dallas on a weekly or monthly basis would also be prioritized. The client uses SailPoint and would want a QA Test Analyst who has experience with IAM concepts for that tool. Top Skills' Details (Must have skills)Governance/Compliance- ability to work...Long term contractContract workTemporary workWork at officeLocal areaRemote work- Company DescriptionIDEALFORCE have a Contractposition available immediately for a QA Analyst/SR to join our customer in Phoenix Arizona. This is an ONSITE position. Please find below additional details about this job. Kindly respond with your most up to date resume if you...Immediate start
- ...building a world-class team of Marketing and Commercial Strategy Analysts to accelerate growth across our global digital portfolios.This... ...directly managing performance, efficiency, and gross profit-and-loss outcomes for your portfolio.We are looking for analytical thinkers...Work experience placement3 days per week
- Job Posting Title: Semiconductor Business Analyst or Senior Business Analyst - Texas Institute for Electronics Hiring Department: Texas... ...than the third day of employment. Failure to do so will result in loss of employment at the university. E-Verify The University of...Full timeFor contractorsLive inLocal areaFlexible hours
- ...operational efficiency and effectiveness. You will collaborate with cross-functional teams, including our management team, business analysts, engineers, project managers, and end-users, to analyze business requirements and translate them into scalable and robust business...Permanent employmentFull timeContract workWork experience placementLocal area
- ...IT Business Systems Analyst The IT Business Systems Analyst contributes broad experience and a high level of expertise in business processes and system functionality. The IT Business Systems Analyst is responsible for facilitating collaborative design of technology...Weekend work
- ...collaboration — equipping our teams to work at the highest levels and solve meaningful challenges. Job SummaryThe Business and Systems Analyst serves as a strategic partner between business stakeholders and Enterprise Technology teams, leading the analysis, design, and...Full timeWork experience placementImmediate startFlexible hours
- Company DescriptionAbout Client:They help in transforming the leading organizations and communities around the world. Organizations infrastructure and culture is amazing. Best place!!Job DescriptionJob Description:As a Senior Manager, your role will be establishing and ...
$94.49k - $131.16k
...can engage in meaningful work and grow your career. Let’s see what we can achieve. Together.SummaryThe Senior Information Security Analyst is responsible for identifying, investigating, and addressing both internal and external threats. This position requires a deep understanding...Full timeWork at officeRemote workRelocationVisa sponsorshipRelocation package- ...solutions that enhance maritime operations through autonomous and intelligent platforms.We are seeking an experienced Business Systems Analyst to join our Mission Systems organization. This role blends a traditional Business Analyst position with light Scrum Master...Permanent employmentTemporary work
- ...improvement. If you're energized by building what's next, we'd love to meet you.About You:We are looking for a Homeowner Business System Analyst who is accountable for the management and translation of business projects into engineering requirements. As a member of the...Temporary workFlexible hours
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