Remote Stop Loss Specialist: Claims & Compliance
Imagine360, LLC
- Remote job
Imagine360, LLC is seeking a Senior Stop Loss Specialist to join the team remotely. This role coordinates tracking, documenting, and submission of stop loss claims and maintains a thorough understanding of plan documents under their scope. You will manage claims with carriers, enter data into databases, respond to carrier questions, support finance with advancement funding, and uphold quality and confidentiality in all activities. #J-18808-Ljbffr Imagine360, LLC
- Imagine360 is seeking a Senior Stop Loss Specialist to join the team! This position coordinates the... ...and submission of stop loss claims. This position maintains a comprehensive... ...responsibility. Position Location 100% remote Responsibilities Stop Loss Claims Management...Remote workClaimsTemporary workWork at office
$23.16 - $35.88 per hour
Highmark Health seeks a Stop Loss Claims Analyst in Annapolis, Maryland. This role involves reviewing and processing various claims while maintaining client relationships and ensuring adherence to standards. The successful candidate will have 5 years of health insurance...ClaimsHourly payWork at office- A healthcare organization in Denver is seeking a claims analyst to evaluate Stop Loss claims, maintain client relations, and ensure compliance with policies. Responsibilities include processing client claims, analyzing potential discrepancies, and approving payments. Candidates...Claims
$23.16 - $35.88 per hour
A healthcare organization is seeking a Claims Analyst to review and process Stop Loss claims, managing client relationships and ensuring compliance with organizational standards. Candidates should have at least 5 years of relevant experience in health insurance claims,...ClaimsHourly pay$140k - $155k
Amwins in Seattle is seeking a Manager for Stop Loss Claims to oversee complex claims, applying expert judgment to enhance outcomes. This role involves mentoring claims professionals and collaborating with internal teams for effective claim adjudication. The ideal candidate...Remote jobClaims- Imagine360, LLC is looking for a Stop Loss Claims Auditor to join their team in a fully remote capacity. This individual will work within the Stop Loss Department, ensuring claims are examined, audited, and processed accurately to support multiple functions. The ideal candidate...Remote jobClaims
- Questpro is seeking a Remote Stop Loss Claims Analyst to manage claims processes and eligibility determinations. The role involves interacting with internal teams, clients, and carriers to ensure timely processing of stop loss claims, and requires 3-5+ years of relevant...Remote jobClaimsWork at office
- ...Snapsheet is hiring a Total Loss Settlement Adjuster in Illinois. This remote position requires handling total loss claims and providing excellent communication with clients and partners. The ideal candidate will have 2-5 years of experience in the Insurance industry...Remote workClaims
- Berkley Accident and Health is hiring a Stop Loss Claims Auditor to review and evaluate claim submissions, ensuring eligibility for reimbursement. The role supports a hybrid work model with remote possibilities and offices in multiple states. The candidate should have...Remote jobClaims
$60k - $70k
...Medical Stop Loss Underwriter - Remote! A growing and innovative organization in the healthcare insurance and... ...release Validate underwriting data and ensure compliance with underwriting guidelines Analyze specific and aggregate claims experience and risk parameters Review...Remote workClaimsImmediate start$70k - $80k
...Accident and Health, based in San Antonio, Texas, is seeking a Stop Loss Claims Auditor. In this role, you will evaluate claims submissions... ...schedule for your convenience, allowing flexibility between remote and in-office work. To thrive, candidates should have 3-5+ years...Remote jobClaimsWork at office- Allied Benefit Systems, Inc. is seeking a Stop Loss Claims Specialist II to manage medical stop loss claims and ensure reimbursements from carriers... ...skills, and proficiency in Microsoft Office. This fully remote position offers a competitive salary and generous benefits...Remote jobClaimsWork at office
$70k - $80k
...broad range of products, including employer stop loss, benefit captives, provider stop loss,... ...insurers in the United States. #LI-AV1 #LI-Remote The company is an equal employment... ...employer. Responsibilities As a Stop Loss Claims Auditor (a.k.a. "Claims Analyst"), you’ll...Remote workClaimsFull timeWork at office- ...Brake offers a flexible working location for this role, enabling 100% remote work or a hybrid schedule. The successful candidate will analyze and respond to Requests For Proposals (RFP) for Stop Loss prospects and support distribution staff in maintaining broker relationships...Remote jobFlexible hours
$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... ...Managers (PBMs) on behalf of self-funded clients for compliance with the following: underlying policy provisions, federal...ClaimsFor contractorsWork at officeLocal area- ...Location: USA - MA, Marblehead; Atlanta, GA Work Arrangement: Hybrid or Remote The salary range for this role is: $76,000-125,500K Claims Specialist - Accident and Health (Medical Stop Loss) The Opportunity The purpose of this role is to provide exceptional claims...Remote workClaimsFull timeWork experience placementWork at officeWork from home
$65k - $85k
...successful candidate will collaborate with medical risk consultants and claims auditors, managing referral mailboxes and group setups for underwriting. Qualifications include 1+ years in medical stop loss, knowledge of billing codes, and proficiency in Excel. The position...Claims$66k - $125k
Sr. Claims Specialist Join to apply for the Sr. Claims Specialist role at Lockton Responsibilities... ...for managing the full lifecycle of stop loss claim submissions with minimal oversight... ...Preferred location: Plano but open to remote Seniority level: Mid-Senior level Employment...Remote workClaimsFull time$90k - $110k
...broad range of products, including employer stop loss, benefit captives, provider stop loss,... ...insurers in the United States. #LI-AV1 #LI-Remote The Company is an equal employment... ...understanding of the Company’s clinical, actuarial, claims and distribution departments, all of...Remote workClaimsFull timeWork at office$151k - $201k
...Underwriting Specialist – Entertainment (Hybrid or Remote in FL or GA) Our employees are at the... ...targeted risk control and claims services. Our employees... ...including: accident year loss ratio, premium plans (new... ...underwriting edits. Ensures compliance with standards and...Remote workClaimsFull timeWork at office$51.8k - $75k
Risk Strategies is seeking a Health Claims Stop Loss Claims Auditor to conduct detailed audits of high-complexity claims files, ensuring compliance with company procedures and regulations. The ideal candidate should have 4-6 years of claims or audit experience, a Bachelor...Claims$88k - $145k
Senior Claims Specialist- Accident & Health (Medical Stop Loss) Location: USA - MA, Marblehead; Atlanta, GA Work Arrangement: Hybrid or Remote The salary range for this role is: $88,000-145,000 Opportunity The purpose of this role is to provide exceptional claims service...Remote workClaimsFull timeWork experience placementWork at officeWork from home- ...employee benefit brokers and consultants, stop loss carriers, and various clinical point... ...their financial interests. This role is remote; however, it will require travel and in person... ...clinicians, underwriters, actuaries, and claims professionals, to develop comprehensive...Remote workClaimsFull timeTemporary workWork at officeWork from homeShift workDay shift
- Symetra is seeking a Manager, Stop Loss Claims to lead daily claims operations, drive service excellence, and continuously improve processes... ...team, ensure quality, timely service, and regulatory compliance, and collaborate across Legal and Compliance to deliver a consistent...Claims
$49.2k - $66.4k
...experience and 2-3 years in the financial services industry, including knowledge of Stop Loss claims. Responsibilities include managing contracts, setting up claim systems, and ensuring compliance with underwriting. The organization embraces a hybrid work model and offers a...Claims- ...join the Global Actuarial Team. You will support pricing and analytics for our Employer Stop Loss and other A&H products, collaborating with underwriting, operations, IT, and claims. The ideal candidate has actuarial education, exams, and experience in medical stop loss...Claims
$95k - $115k
...Loss Control Specialist CopperPoint has an exciting opportunity for a Loss Control Specialist to join our team. This advanced individual contributor... ...Leads analysis of complex loss data, identifies significant claim trends and patterns, and develops strategic, technically...Remote workClaimsHourly payFull timeTemporary workWork experience placementWork at officeWork from homeFlexible hoursNight shift- ...Position Summary The Loss Control Specialist provides loss control service... ...implementation and ongoing compliance. Prepare and submit... ...losses, review accident and claim reports, and serve as a liaison... ...that cannot be performed remotely without compromising security...Remote workClaimsContract workTemporary workWork experience placementWork at officeWork from homeFlexible hours
$126.4k - $173.8k
...Sterilization & Monitoring Specialist (Solventum) 3M Health... ...at Solventum, we never stop solving for you. The... ...standardization Drive contract compliance and standardization... ...entry. Work location: Remote in New Orleans, LA... ...recruitment schemes that falsely claim to represent Solventum...Remote workClaimsContract workH1bWork at officeRelocation packageFlexible hoursNight shift$34.8k
...Claims Support Specialist Since 2000, Crum & Forster's Accident & Health division... ...to needs in Employer Stop Loss, Excess Medical, Life, and... ...service standards, and ensuring compliance. This role is instrumental... ...metro area, but open to remote for the right candidate. We...Remote workClaimsWork at office
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