Senior Stop Loss Claims Strategist
$23.16 - $35.88 per hourHighmark Health
A healthcare company based in Madison, WI is seeking a skilled analyst to evaluate and process Stop Loss claims. The ideal candidate will have 5 or more years of experience in health insurance claims. Key responsibilities include managing client relationships, analyzing claims for compliance, and identifying discrepancies. The position offers a pay range of $23.16 to $35.88 per hour based on qualifications and experience, along with a comprehensive view of client service operations. #J-18808-Ljbffr Highmark Health
$23.16 per hour
Company: Highmark Inc. Job Description: This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing...SeniorClaimsFor contractorsWork at officeLocal area$60k - $90k
Sedgwick is seeking a General Adjuster in Madison, Wisconsin to investigate insurance claims and negotiate settlements. The role involves handling complex losses, examining claims for coverage, and working with various stakeholders. Candidates should have a Bachelor's degree...SeniorClaims$110k - $120k
A leading insurance company seeks a Claims Manager to analyze complex medical malpractice claims and ensure resolution within company standards. The ideal candidate will have over six years of claims management experience, strong negotiation, organizational, and analytical...SeniorClaims- A leading claims administration partner is seeking Specialty Loss Adjusters to join their team across strategic locations. Candidates should have proven insurance claims experience, excellent communication skills, and be commercially minded. This role offers an opportunity...ClaimsFlexible hours
$62.7k
...provides critical sales account support for HM Insurance Groups' Stop Loss Business Unit, facilitating the seamless implementation and... ...coordinate the implementation of stop loss policies, group changes, claims issues, premium remittance, and other group administration...SeniorClaimsFor contractorsWork at officeLocal area$40k - $250k
...Best Workplaces in Financial Services & Insurance Specialty Loss Adjuster Embark on an Exciting Career Journey with Sedgwick Specialty... ...started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your...ClaimsPermanent employmentFlexible hours$23.16 per hour
...quotes and analyzing the structure of group contracts based on claims experience, employee group characteristics, and other factors. The... ...work. Complete rating and analysis work with guidance from senior staff. Calculate rates, employ various financial arrangements,...ClaimsContract workWork at officeLocal area$67k - $100k
A leading insurance provider in Wisconsin is looking for a Workers’ Compensation Claims Representative. You will guide injured employees through the recovery process and ensure compliance and fair resolutions. The role requires excellent negotiation and problem-solving...SeniorClaims- ...advanced level underwriting position. The Lead Senior Underwriter is responsible for assessing... ...products as well as identifying loss prevention solutions for our largest and... ...participation, and collaborating with the field, claims, brokerage and loss prevention to bring...SeniorClaimsWork experience placement
$132.3k - $178.9k
Coverys is searching for a Manager, Claims based in Wisconsin to oversee all claims and litigation activities for its professional staff. The ideal candidate will have at least 8 years of experience in medical malpractice claims, and 3 years in a supervisory role. This...SeniorClaims$80k - $85k
...legal inquiries. This remote position requires a Bachelor’s degree and ten years of litigation experience, including five years in claims management. The consultant will develop strategies for case resolution, respond to legal inquiries, and oversee settlements while utilizing...ClaimsRemote job- ...CVS Health in Madison, Wisconsin seeks a Medical Claims Processor to review, adjudicate, and provide expertise on complex medical claims. The successful candidate will ensure compliance with regulatory requirements while effectively addressing customer inquiries. The...SeniorClaimsFull time
$76.05k - $96.05k
A leading energy solutions provider is seeking a Pricing Analyst to provide strategic pricing analysis and data visualization. This role involves aggregating and analyzing pricing data to optimize product portfolios for gasoline and diesel engines. Ideal candidates will...Senior- Exact Sciences Corporation in Madison, Wisconsin is seeking a Sr. Analytical Sourcing Advisor. This role acts as a strategic liaison, optimizing sourcing strategies using advanced analytics and AI tools. The ideal candidate will have over 7 years of experience in procurement...Senior
$156k - $172k
Amentum is seeking a Pricing Analyst V to lead cost/price proposals and collaborate with cross-functional teams. The successful candidate will have extensive experience in commercial pricing strategies and proposal development, with a focus on the commercial real estate...SeniorRemote job- A leading global consulting firm is seeking a Senior for its Tax - Indirect Tax team. This role involves advising clients on complex tax functions and developing effective tax strategies to optimize processes. Candidates should possess a Bachelor's degree and 3+ years...SeniorFlexible hours
- Acxiom is seeking an Audience Activation Specialist based in Madison, Wisconsin. This pivotal role involves developing and executing complex segmentation strategies to enhance marketing efforts. The successful candidate will have a Bachelor's degree, 5+ years of relevant...Senior
$131k - $220k
...leadership environment, aligning actuarial, product, underwriting, claims, legal/compliance and IT. Specialized Knowledge & Skills... ...product development and/or management with a focus on profit and loss. Solid knowledge of market research and marketplace and regulatory...SeniorClaimsFull timeWork at officeLocal areaRelocation packageFlexible hours$107k - $163k
A global agricultural machinery leader is looking for a Senior Strategic Sourcing Specialist to manage the purchase of complex production parts across North America. This role requires strategic sourcing expertise, negotiation skills, and the ability to work collaboratively...Senior$82.3k - $135.8k
A leading consulting firm is seeking a seasoned HR professional to oversee corporate learning and development. The role requires developing training programs and ensuring compliance with quality standards, supported by 8-15 years of HR experience. Effective communication...Senior- Exact Sciences is seeking a Sr. Operations Analytics Specialist in Madison, WI, to support various business units by conducting quantitative and qualitative analyses. The role demands a Bachelor's degree in a relevant field or equivalent experience, alongside 5+ years in...SeniorFull time
$87.5k - $133.6k
A leading home products company is looking for a Senior Digital Merchandising Specialist to enhance the online customer experience. This role includes responsibilities like executing website merchandising activities, analyzing eCommerce performance, and identifying improvement...Senior- A leading home products company is seeking a Sr. Digital Merchandising Specialist to enhance the online customer experience. The role involves driving eCommerce sales through data-driven insights and effective merchandising tactics. Ideal candidates will have 2-4+ years...Senior
$60k - $90k
The Hispanic Alliance for Career Enhancement is looking for a Claims Adjuster to investigate and adjust property and casualty claims in Wisconsin. Responsibilities include inspecting claims, negotiating settlements, and maintaining client relationships. A Bachelor's degree...SeniorClaims- ...Wisconsin. This role involves overseeing accurate billing processes for Medicare, Medicaid, and commercial payers, resolving complex claim issues, and collaborating with internal teams. Candidates should have 4+ years in medical billing and a strong working knowledge of...SeniorClaims
- A consumer goods company in Wisconsin is seeking a Senior Product Safety Engineer to oversee product integrity and consumer safety. This... ..., and providing legal support during product liability claims. Candidates should possess a Bachelor's degree in Engineering and...SeniorClaimsFlexible hours
- The Hanover Insurance Group in Madison, Wisconsin is seeking a Sr Adjuster Field Service Claims to manage moderate to complex field property claims. This role requires advanced investigation and negotiation skills, along with the ability to handle claims in accordance...SeniorClaimsFlexible hours
- Blue Cross and Blue Shield of North Carolina is seeking a Senior Business Systems Analyst - Provider Network Pricing in Wisconsin. This role requires advanced expertise in functional areas for claims and provider pricing, acting as a liaison between business and IT. Responsibilities...SeniorClaimsFlexible hours
$96k - $130k
A global engineering firm is seeking a Quality Manager to ensure compliance with quality standards and minimize warranty claims. This role entails implementing quality systems, leading diverse teams, and developing metrics for continuous improvement. The ideal candidate...SeniorClaims$60k - $90k
Sedgwick is looking for a claims adjuster in Wisconsin to investigate and adjust property and casualty claims, both residential and commercial. The ideal candidate will possess a Bachelor's degree, IIA-AIC designation, and a state adjuster license. Responsibilities include...SeniorClaims
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