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
$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- ...Senior Underwriter - Medical Stop Loss Avon, CT; Houston, TX; Phoenix, AZ We are one... ...Insurance Underwriters is a leading provider of innovative... ...employer group data, including claims experience, demographics,... ...limited to; comprehensive health care coverage, a 401k plan...SeniorClaimsWork at officeRemote work
$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$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,...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
$128k - $192k
...Schaumburg, IL Accident & Health Underwriting Experience... ...for Employer Stop loss coverage of self-funded... ...Our Underwriters analyze claims experience, loss ratio,... ...Corporate Solutions’ strategy Lead internal (technical/... ...salary range for the Senior Underwriter level in Windsor...SeniorClaimsFull timeTemporary workWork at officeWorldwideRelocationFlexible hours3 days per week$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$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- ...CVS Health is looking for a Senior Manager, Quality Engineering to enhance quality practices across their Aetna Claim Adjudication System. This strategic leadership role involves improving... ...establishing risk-based testing models, and leading automation efforts. Ideal candidates...SeniorClaims
$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$249.97k - $388.13k
...experienced and visionary Senior Director, Global... ...the clinical strategy, leading cross-functional study... ...interactions with global health authorities. • Provides... ...processing fee, even if claimed you will be reimbursed,... ...responsible for any claims, losses, damages or expenses...SeniorClaimsTemporary workLocal areaFlexible hours$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- 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
- A prominent health insurance firm based in Bloomfield, CT is seeking a Senior Director for Provider & Claims Technology. The role entails owning the product strategy and technology roadmap for claims and provider platforms, requiring over 10 years in product management...SeniorClaims
$106k - $145.75k
...Senior Mainframe Engineer page is loaded## Senior Mainframe... ...Job Description:****3M Health Care is now Solventum**... ...at Solventum, we never stop solving for you.****The... ...testing components.* Lead and manage... ...familiarity with healthcare claims processing software and...SeniorClaimsH1bRemote workRelocation packageFlexible hours- ...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
$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$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$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 work- ...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
$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- ...The ideal candidate will have extensive experience in building sciences, especially with asbestos and lead-related projects. Atlas provides comprehensive benefits tailored to the diverse needs of employees, including health, dental, vision, and 401k. #J-18808-Ljbffr...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
- 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
- Munich Reinsurance America, Inc is seeking a Senior Claims Specialist in Hartford, CT, with over 7 years of experience in casualty claims.... ..., with potential bonuses and comprehensive benefits including health coverage, 401k matching, and generous PTO. Join a team committed...SeniorClaims
$135k - $150k
Allied World is looking for an AVP for Environmental Claims in Farmington, Connecticut. The role involves managing the investigation and... ...$150,000, complemented by a generous benefits package including health, dental, and disability insurance. #J-18808-Ljbffr Allied WorldSeniorClaims$68.4k - $105.9k
A health insurance organization is seeking an experienced professional to develop and manage complex sales proposals while collaborating with cross-functional teams. The ideal candidate will have 5 to 7 years of experience in Bid/Proposal writing, project management, and...SeniorLocal area3 days per week$66k - $112k
...healthcare for all. Medical Coding Automation Senior Associate We are looking for a Medical... ...coding quality, reduce denials, optimize claim adjudication outcomes, and strengthen... ...plan, or equity plans. Benefits Along with health and financial benefits, athenistas enjoy...SeniorClaimsTemporary work
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