Senior Stop-Loss Claims Specialist (Remote/Plano)
Lockton Companies
- Remote job
Lockton Companies is seeking a candidate in Plano, Texas, or remotely to manage the full lifecycle of stop loss claim submissions. The role includes ensuring accuracy and quality in the process, acting as a trusted partner to clients and carriers, and resolving routine issues independently. Responsibilities also include interpreting claim data, maintaining detailed records, and supporting the reporting efforts. The ideal candidate will thrive in a dynamic environment and seek opportunities to enhance operational efficiency. #J-18808-Ljbffr Lockton Companies
- ...Summary: • Responsible for managing the full lifecycle of stop loss claim submissions with minimal oversight. • Ensures accuracy... ...claims team members by offering guidance and context Requirements: Preferred location: Plano but open to remote #LI-DG2 #LI-MM4Remote workSenior
- Primary DetailsTime Type: Full time Worker Type: Employee 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:$88,000-145,000K...Remote workSeniorFull timePart timeWork experience placementWork at officeWork from home
$23.16 per hour
...Highmark Inc. Job Description : JOB SUMMARY 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...Remote workSeniorFor contractorsWork at officeLocal area$99k - $186k
...MA; Chicago, Il; Marblehead, MA; Plano, TX; Edina, MN; New York City, NY; or remote Work Arrangement: This role... ...results. Ensure adherence to loss ratio goals and achieve expected rate... ...Moderate relevant experience in Stop Loss Underwriting experience...Remote workSeniorFull timePart timeWork experience placementWork at officeWork from home2 days per week3 days per week- ...Working remotely on a full-time basis, the Stop Loss Claims Specialist will prepare and file medical stop loss claims for reimbursement, follow up with carriers to ensure timely payments, and manage appeals for denied claims. Key responsibilities Compile and submit claim...Remote workFull timeWork experience placementWork at office
- A leading healthcare provider is seeking a knowledgeable claims analyst to review and process Stop Loss claims according to established standards. The successful candidate will build client relationships, educate clients, and analyze claim losses, ensuring compliance with...Senior
- ...Senior Underwriter - Medical Stop Loss Avon, CT; Houston, TX; Phoenix, AZ We are one of the largest wholesale... ...in the Phoenix, AZ area working remotely; however, highly qualified... ...funded employer group data, including claims experience, demographics, plan design...Remote workSeniorWork at office
$23.16 - $35.88 per hour
A health insurance company in Des Moines, Iowa seeks a Claims Analyst to review and process Stop Loss claims per established standards. Responsibilities include evaluating claims, maintaining records, providing client counseling, and identifying discrepancies. Candidates...SeniorHourly pay$57.64k
...largest and most complex groups. Serves as primary contact to stop loss vendors. Position Purpose: Rates and designs benefits for... ...subsidiary companies. Location: While this position is open for remote work, we prefer talent local to the Carrollton, Texas area....Remote workSeniorFor contractorsWork experience placementSecond jobWork at officeLocal areaMonday to Friday$82.83k
...profitable book of business in the employer stop loss marketplace through Managed Care... ...companies. Location: This is a full-time remote position. The typical work hours are... ...communication with management, marketing, sales, claims, and other appropriate areas. Assist...Remote workSeniorFull timeFor contractorsWork experience placementSecond jobLocal areaMonday to Friday$82.83k
...profitable book of business in the employer stop loss marketplace through Managed Care... ...Location: This is a full-time remote position. The typical work hours are Monday... ...communication with management, marketing, sales, claims, and other appropriate areas. Assist management...Remote workSeniorFull timeFor contractorsWork experience placementSecond jobLocal areaMonday to Friday- ...their dynamic team in New Jersey. The role requires at least 15 years of actuarial experience and specific expertise in Employer Stop Loss. The ideal candidate will demonstrate strong analytical and research skills while effectively collaborating with various stakeholders...Remote workSenior
$51.11k - $97.73k
...BlueCross BlueShield of South Carolina is hiring for a remote position focused on auditing and authorizing medical stop loss claims. The ideal candidate will have at least 6 years of managed care or reinsurance claims experience and an Associate's degree. Responsibilities...Remote workSenior$87.9k - $146.5k
...new opportunity to join our team as a Senior Stop Loss Underwriter! About the role In... ...guidelines Analyze information on past claim history and other standard criteria... ...company. Please review Symetra's Remote Network Minimum Requirements: As a remote...Remote workSeniorFull timeWork at officeImmediate startWork from homeFlexible hoursShift work- ...benefits management firm is seeking a Senior Revenue Analyst to conduct in-depth analysis of claims data. The role involves... ...business proposals, overseeing stop loss coverage, and negotiating with... ...are required. This position is remote, allowing flexibility while requiring...Remote workSenior
$64.7k
...customer service platform. Our claims and risk engineering services... ...to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary... ...approach to business. The Senior Underwriter is responsible for... ...and an employee driven corporate giving. #LI-JA1 #LI-RemoteRemote workSeniorWork experience placementWork at officeFlexible hours- ...Foundation Risk Partners is seeking a Stop Loss Insurance Administrative Support Assistant to support Medical Underwriting and Claims. You will manage documentation and ensure timely decision-making within a fast-paced, document-driven environment. The ideal candidate...Remote work
$34.8k
...Claims Support Specialist Since 2000, Crum & Forster's Accident & Health division (A&H) has offered... ...tailored to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary... ...the Phoenix metro area, but open to remote for the right candidate. We are hiring...Remote workWork at office- Job Category: Claims Requisition Number: SENIO011166 Posting Date... ...Grove, IL 60515, USA The Large Loss Workers’ Compensation Adjuster... ...claim resolution. This is a remote role. Essential Functions &... ...For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be...Remote workSeniorMinimum wageFull timeWork at officeLocal areaFlexible hours
- ...Reviewing and processing excess loss claims, the full-time Stop Loss Claims Examiner will analyze policy provisions, maintain documentation, and ensure accurate reimbursements while working in a remote environment. Key responsibilities Review and decide on reimbursement...Remote workFull timeWork experience placement
$67k - $126k
...$126000.00 Job Category: Claims Description The Senior Claims Specialist works within a Claims Team... ..., evaluating losses, negotiating settlements... ...monitoring caseloads. This is a remote position. You will be required... ...of Hoffman Estate, IL and Plano, TX. Please note this...Remote workSeniorFull timeWork experience placementWork at officeLocal area- Highmark Inc. is seeking a Senior Claims Analyst specializing in Stop Loss claims to evaluate and process Excess Risk claims. The role involves daily processing, monitoring complex potential claims, and ensuring compliance with industry standards. The ideal candidate will...Senior
- ...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 risk...Remote workSeniorFull timeTemporary workWork at officeWork from homeShift workDay shift
- Highmark Inc. is looking for a Senior Claims Analyst to specialize in Stop Loss claims in Atlanta, Georgia. This role involves reviewing and processing Excess Risk and Reinsurance claims while establishing client relationships. Candidates should have extensive experience...Senior
$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...SeniorHourly payWork at office$70k - $80k
...Stop Loss Claims Analyst Berkley Accident and Health is a risk management company that designs... .... This position can either be fully remote (if not within commutable distance to... ...mobility opportunities Visibility to senior leaders and partnership with cross...Remote workFull timeWork at office$27.1 - $45.16 per hour
...Symetra has an exciting opportunity to join our growing team as a Stop loss Claims Operations Analyst ! About the role Responsible... ...employment with our company. Please review Symetra's Remote Network Minimum Requirements: As a remote-first organization...Remote workHourly payFull timeWork experience placementImmediate startWork from homeFlexible hours$48.3k
...superior customer service platform. Our claims and risk engineering services are recognized... ...products tailored to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary and... ...based compensation and/or performance-based variable pay programs. #LI-AV1 #LI-RemoteRemote workWork at office- ...: Highmark Inc. Job Summary Are you ready to make a 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, evaluating, and processing Excess Risk and Reinsurance claims...SeniorWork at office
- Westfield-Insurance in New Jersey seeks a Senior Stop Loss Claims & Cost Containment Analyst to support its A&H team. This role involves coordinating cost containment strategies, managing claims inventory, and liaising with vendors and customers. Candidates should have...Senior
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