Stop-Loss Claims & Reconciliation Specialist
CVS Health Corporation
CVS Health Corporation is seeking a Stop Loss Claims Analyst to support stop loss filing activity for self-funded employer groups. The role involves preparing, tracking, reconciling, and marshaling filings while collaborating with internal teams and carriers. Training is available for the right candidate who is eager to learn and grow in this specialized healthcare area. The position offers exposure to data analytics, underwriting, eligibility, and client management within a fast-paced #J-18808-Ljbffr CVS Health Corporation
- Acrisure is seeking a Stop Loss Underwriter to evaluate, price, and manage risk for employer-sponsored self-funded health plans. You will... ...competitive. Collaboration with sales, clinical, policy, and claims teams is essential to deliver sound underwriting decisions. The...SuggestedRemote job
- ...from additional locations will be considered. Job Summary The Stop Loss Underwriter is responsible for evaluating, pricing, and managing... ...Underwriter collaborates with sales, clinical, policy, and claims teams to deliver sound underwriting decisions aligned with company...SuggestedContract workImmediate startFlexible hours
$80k - $120k
Voya Financial, Inc. is seeking Stop Loss Underwriters to evaluate employer group medical stop loss submissions and support underwriting... ...role analyzes risk and pricing factors, including demographics, claim experience, large claimant activity, participation, plan design...Suggested$88k - $164k
## Claims Specialist III, Property Large Loss (Central VA - WFH)Applylocations: Virginiatime type: Full timeposted on: Posted Todayjob requisition id: 099797If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly...SuggestedFull timeTemporary workPart timeCasual workLive inWork at officeLocal areaRemote workWork from homeRelocation packageNight shift3 days per week- UniGroup, Inc. is seeking a Senior Claims Specialist in Des Peres, MO to investigate, evaluate, and resolve complex cargo loss or damage claims across multiple lines of business. This role requires strong judgment and analytical skills, with collaboration across customers...Suggested
- Sedgwick is seeking an experienced Auto Adjuster / Total Loss Settlement Specialist in Wisconsin. You’ll investigate and manage auto claims from assignment through resolution, determine liability, analyze damages, and negotiate settlements to meet client expectations and...
- Nationwide Mutual Insurance Company is seeking a Claims Specialist III for Property Large Loss in Central Virginia with remote work and regular travel to policy locations. You will evaluate serious exposures, conduct investigations, and negotiate settlements. Ideal candidates...Remote job
- Investigate and settle total loss, loss-of-use, towing, and storage claims with speed and accuracy, negotiating fair outcomes and thoroughly documenting... ...determine appropriate cash value for various auto and specialist vehicles. Adhere to state-specific compliance...Work experience placementWork at officeImmediate startMonday to Friday
$55.13k - $110.64k
...Lost Time Workers' Compensation claims handling experience in... ...OBJECTIVE The Lost Time Claims Specialist, Workers’ Compensation primarily... ...assigned claim director if the loss becomes significantly complex... ...and personal growth. We never stop learning and always seek to improve...TraineeshipWork experience placementWork at officeRemote workFlexible hours$74.56k - $85.08k
...enterprise risk management program by coordinating insurance claims, analyzing loss trends, and advancing housing risk mitigation strategies... .... Audit Preparation & Internal Control Support Provide reconciliation documentation, data extracts, and corrective action evidence...Full timeFor contractors- ...Review migrated insurance data, including premiums, claims, commissions, and general ledger mappings, across... ...understanding of insurance finance, including premiums, loss reserves, commissions, and financial reconciliation/FP&A. Familiarity with how US MGAs or Program...Full time
$71.23k - $82.5k
Position Summary The Loss Adjuster plays a critical role in AgCentric’s claims operations by conducting field inspections, evaluating crop damage, and determining accurate indemnity payments in accordance with MPCI program guidelines. This position requires strong agricultural...Full timeContract workWork experience placement$250k
National General is seeking an experienced Large Loss BI Adjuster to handle high-exposure, litigated bodily injury claims totaling $250,000 or more. You will investigate, evaluate, negotiate and resolve complex casualty claims with substantial exposure across auto and...- Zurich North America is seeking a Crop Claims Field Adjuster I to join our Rural Community Insurance Services team. This role involves conducting field inspections, assessing crop loss, and resolving claims through interaction with farmers. The candidate should have a High...Remote jobFull timeTemporary work
- ...support enterprise risk management by coordinating insurance claims, analyzing loss trends, and advancing risk mitigation across the agency’s... ...include FEMA/disaster recovery documentation, reconciliation with Finance, and collaboration with Property Management and...
$87.9k - $146.5k
...statement, it’s an active and ongoing priority that’s felt throughout the organization.” -Charlotte G., Sr. Underwriter - Consultant Stop Loss***What we offer you****Benefits and Perks**We don’t take a “one-size-fits-all” approach when it comes to our employees. Our...Full timeContract workImmediate startRemote workWork from homeFlexible hours- ...The role involves traveling to customers' homes to conduct on-site inspections, investigate coverage, and settle claims promptly, with emphasis on water losses. You will also manage virtual claims nationwide using industry platforms and collaborate with multiple...
- ...Markel Group, a Fortune 500 company with a global presence, seeks a Claims Technician to support case management and the claims process... ...as part of a professional team. You will handle First Notice of Loss requests, route inquiries, and ensure productivity and accuracy...
- ...26 at 5:00 AM Location: Des Peres, MO Work Arrangement: On-site Position Overview The Senior Claims Specialist investigates, evaluates, and resolves a wide range of cargo loss or damage claims across multiple lines of business. This role manages more complex and sensitive...Permanent employmentContract workTemporary workWork at officeShift work
$100k
...Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical Malpractice | Long Term... ...available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With...Local areaFlexible hours$90k - $110k
...their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and... ...more thorough understanding of the Company’s clinical, actuarial, claims and distribution departments, all of which will advance the...Full time- Auto-Owners Insurance is seeking a Bodily Injury Claims Specialist to join our Claims department. The role involves assembling facts, evaluating... ...and liability, and making payments as appropriate to settle losses. You will study policies, follow procedures, and participate...Remote workWork from home3 days per week
- Blue Ridge Risk Partners is seeking a Claims Coordinator to support clients, policyholders, and carriers through the claims process. You... ...include notifying management of large claims, maintaining loss history, and assisting with scheduling reviews. #J-18808-Ljbffr...
- ...way we help customers to manage risk. Join us as a Casualty Claim Specialist I to play your part in that transformation. It’s an opportunity... ...of medium to moderate complex litigated and non-litigated losses. You will: Provide exceptional customer service and commitment...Work experience placementWork at office
- ...Work. Grow Your Career. At AssuranceAmerica, claims is more than resolving accidents—it's... ...auto liability claims from first notice of loss through resolution while delivering an exceptional... ...Than a Career The best adjusters never stop learning. At AssuranceAmerica, you'll have...
- Holmes Murphy is seeking a Liability Claims Specialist to join Creative Risk Solutions (CRS). This remote-friendly role involves consulting... ...agency partners, and fronting carriers while maintaining accurate loss records. The ideal candidate has 3-5 years of adjusting...Remote job
- Selective Insurance seeks an experienced claims professional to handle Abuse/Molestation Liability Specialty Claims from intake through... ...excellent communication, sound judgment, and the ability to manage loss exposures while delivering high performance. Travel up to 10%...
- Creative Risk Solutions is seeking a Liability Claims Specialist to join our CRS team. You will advise on coverage for commercial auto and GL... ..., adjudicate, and negotiate settlements, while maintaining loss information and exploring subrogation opportunities. Ideal candidates...
$24 - $28 per hour
...expenses, supporting eligibility checks, tracking the life cycle of claims, and reviewing member transactions incurred using the Carrot... ...support on post-adjudication impacts to claims (ex: Refunds, Reconciliations, Adjustments) Provide on-call member support via Pagerduty as...Hourly payTemporary workWorldwideMonday to FridayFlexible hours- Holmes Murphy is seeking a Liability Claims Specialist (Remote) to advise on coverage for commercial auto and general liability claims. You will adjudicate, negotiate settlements, and manage loss information within authority while partnering with agencies and insureds....Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Stop-Loss Claims & Reconciliation Specialist. Be the first to apply!
- claims specialist remote Brooklyn, NY
- claims assistant workers compensation Brooklyn, NY
- medical insurance claims specialist Brooklyn, NY
- medical claims analyst Brooklyn, NY
- senior claims specialist Brooklyn, NY
- claims analyst work from home Brooklyn, NY
- claims resolution specialist Brooklyn, NY
- claim specialist Brooklyn, NY
- claims processor Brooklyn, NY
- claims analyst Brooklyn, NY

