Medical Stop-Loss Claims Specialist
$48.3k - $90.8kCrum & Forster
A leading insurance provider is seeking a medical stop loss claims specialist in Phoenix, Arizona. This role entails evaluating claim submissions, processing payments, and maintaining reporting standards while fostering collaboration within teams. The ideal candidate brings a bachelor’s degree, a commitment to customer service, and proficiency in Microsoft Office. This position offers a competitive salary range from $48,300 to $90,800, plus comprehensive benefits. #J-18808-Ljbffr Crum & Forster
$34.8k
...Claims Support Specialist Since 2000, Crum & Forster's Accident & Health division (A&H) has offered... ..., which spans both special risk and medical solutions, A&H works on an... ...products tailored to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary...MedicalWork at officeRemote work- ...significant impact in the world of health insurance? As a Senior Claims Analyst specializing in Stop Loss claims, you will play a crucial role in reviewing,... ...dollar health insurance claims 3 years knowledge of medical terminology Preferred 3 years as a Stop Loss Claims...MedicalWork at office
$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... ...health insurance claims 3 years of experience with medical terminology Preferred: 3 years of experience in a Stop...MedicalFor contractorsWork at officeLocal area$48.3k
...superior customer service platform. Our claims and risk engineering services are recognized... ..., which spans both special risk and medical solutions, A&H works on an international... ...products tailored to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary and...MedicalRemote jobWork at office$46.7k
...superior customer service platform. Our claims and risk engineering services are recognized... ..., which spans both special risk and medical solutions, A&H works on an international... ...products tailored to needs in Employer Stop Loss & Excess Medical; and Ancillary, Life &...MedicalWork experience placementWork at officeFlexible hours- A leading insurance provider is hiring a Claims Support Specialist in the Phoenix area to coordinate claims intake and assist the claims team. This... ...a high school diploma and office experience, ideally in medical claims. The company offers competitive compensation, benefits...MedicalRemote jobWork at office
- Highmark Inc. is seeking a Senior Claims Analyst in Phoenix, AZ, to manage Stop Loss claims. As part of the team, you will review and process claims while ensuring compliance with regulations, evaluate Third Party Administrator claims, and enhance client satisfaction through...
$23.16 - $35.88 per hour
A healthcare company based in Phoenix, Arizona, is seeking an Underwriter to manage renewing accounts and write new business while ensuring profitable outcomes. The role involves pricing quotes, analyzing risk, and preparing underwriting reports. Candidates should have ...MedicalHourly payWork at office$23.16 per hour
Job Summary This role involves pricing quotes and analyzing the structure of group contracts based on claims experience, employee group characteristics, and other factors. The incumbent will exercise discretion under underwriting authority within HMIG policies to ensure...MedicalContract workWork at officeLocal area- Cfins is recruiting a Clinical Operations Specialist located in Scottsdale, Arizona. The role involves managing claims data, supporting medical underwriting processes, and providing... ...Applicants with experience in Employer Stop Loss notifications are preferred. The...Medical
- ...Workers Compensation Claims Specialist Are you looking for an opportunity to join a fast-growing... ...liability/compensability, evaluating losses, negotiating settlements, and managing... ...cause and origin experts and independent medical examiners. Refers to claim to...MedicalRemote work
$132.8k - $219.1k
...you do it. Job Category Claim Compensation Overview... ...agencies, witnesses, agents, medical providers and technical experts... ...both allocated and unallocated loss adjustment expenses Evaluate... ...Support: Some Complex Claim Specialists may be responsible for all or...MedicalLocal area$25 - $28 per hour
...homeowners’ property is restored to its pre-loss condition. We prioritize people in... ...rapidly. We’re looking for a motivated Claims Specialist to join our team and help manage the insurance... ...for services rendered (similar to medical billing) while maintaining compliance...MedicalHourly payFull timeFor contractorsWork at office- ...Senior Workers Compensation Claims Specialist Are you looking for an opportunity to join a fast... ...liability/compensability, evaluating losses, negotiating settlements and managing an... ...and origin experts and independent medical examiners. Refers to claim to subrogation...MedicalWork experience placementRemote work
- ...WC Claims Resolution Specialist – Special Risk Policyholders Amerisure creates exceptional value for... ...compensation claims for insureds with loss-sensitive insurance programs, such as... ...controlling costs. Partner with insureds, medical providers, and injured workers to...MedicalWork at officeLocal areaRemote workNight shift3 days per week
$71k - $104.4k
...Claims Representative Under the direction of the Claims Team Leader, the Claims Representative... ...equitably. Obtain releases, proofs of loss, or compensation agreements and issue... ...entitlement. Reviewing and approving medical bill payments or forwarding for external...MedicalFull timeContract workTemporary workWork experience placementLocal area- ...will manage and process premium set up of new/renewal stop loss accounts, develop and provide required claim reporting to sales staff, and set up new billing... ...support. Eligible full-time teammates enjoy access to medical, dental, vision, life, disability, and AD&D...MedicalFull timeContract workWork at officeWork from home
$57k - $68k
## Claims Total Loss SpecialistApplylocations: Arizonatime type: Full timeposted on: Posted Yesterdaytime... ...the team**# The Total Loss Claims Specialist will handle claims involving higher... ...full-time employees* Employer-paid medical, dental, and vision insurance (Country...Full timeFixed term contractWork at office3 days per week- Position Overview The Claim Specialist (Commercial) is responsible for handling Commercial Auto Claims... ...accurate and timely investigation and loss analysis. Maintain an active file diary... ..., mental and physical disability, medical condition, genetic information, military...MedicalContract workRemote workNight shiftWeekend work
$18 - $19 per hour
Join to apply for the Claims Examiner (remote) role at Cognizant Join to apply for the... ...liability (i.e., subrogation, COB, MVA, stop loss claims, and potential stop loss files) Maintaining... ...using dual monitors Knowledge of medical terminology, CPT-4, ICD-9, ICD-10, HCPCS...MedicalRemote jobHourly payFull timeTemporary workWork at officeWork from home$100k - $125k
...in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL... ...offered including but not limited to, medical, dental, vision, 401k and matching, PTO... ...for solutions in claims administration, loss adjusting, benefits administration, and...MedicalRemote jobWork at officeLocal areaFlexible hours$95k - $120k
...Our client currently seeks a Complex Claims Technical Specialist Claims professional to join their organization... ...and responsibilities Review new losses and determine initial plans of action... ...compensation and benefits, including medical, dental, vision, 401(k), flexible...MedicalTemporary workFlexible hours- ...description: This position is responsible for managing the stop-loss premium and revenue payment processes, reconciliation, reporting... ...coverage and support. Eligible full-time teammates enjoy access to medical, dental, vision, life, disability, and AD&D insurance; tax-...MedicalFull timeContract workTemporary workWork at officeWork from homeShift workDay shift
- ...employee benefit brokers and consultants, stop loss carriers, and various clinical point... ...clinicians, underwriters, actuaries, and claims professionals, to develop comprehensive... ...Eligible full-time teammates enjoy access to medical, dental, vision, life, disability, and...MedicalRemote jobFull timeWork at officeWork from home
$46k
...Clinical Operations Specialist The Clinical Operations Specialist role is an... ...integral part of Crum & Forster Employer Stop Loss which is part of the Medical Business Unit. Our Clinical... ...Receive, track, identify and analyze claims data and clinical information as appropriate...MedicalRemote job$53.9k
...portfolio, which spans both special risk and medical solutions, A&H works on an international... ...market. Job Description The C&F Stop Loss Accounting department of the Accident &... ...position will interact internally with Claims, Policy, Digital Transformation, IT,...Medical$105k - $120k
...a Senior Commercial General Liability Claims Specialist to their team. This person would be responsible... ..., Premise Liability, and Bodily Injury losses throughout the country.... ...to work remotely Extremely competitive Medical, Dental, Vision and Life plans #J-1880...MedicalRemote work$34.8k
...customer service platform. Our claims and risk engineering services... ...spans both special risk and medical solutions, A&H works on an... ...tailored to needs in Employer Stop Loss & Excess Medical; and Ancillary... ...Premium Operations Lead and Specialist, contributing to smooth workflow...MedicalLocal area$23 per hour
W e are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Scottsdale,... ...offer a variety of benefits including: Medical; Dental; Vision 401k with a match Paid Time... ...Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure...MedicalFull timeTemporary workWork experience placementRemote workRelocation packageFlexible hoursShift work$67k - $83k
...employees everywhere! We are seeking a Claims Representative to enhance our team. This... ...contact for injured workers, employers, medical providers, and other stakeholders, delivering... ...solutions covering both pre- and post-loss services. The pay range for the role is...MedicalWork at officeLocal area3 days per week
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