Lead Stop-Loss & Health Claims Operations
Sun Life
Sun Life U.S. seeks a Senior Manager, Stop Loss and Health Claims to lead our dynamic claims unit and drive excellence in customer service. You will oversee complex claims operations, manage a high-performing team, mentor staff, and collaborate with key partners to sustain Sun Life's growth and service standards. You will oversee process improvements, ensure timely and accurate claims handling, and drive performance alongside brokers, TPAs, and policyholders in a hybrid nationwide role. #J-18808-Ljbffr Sun Life
$68.2k - $102.3k
...absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.... ...in our partner dental practices and operate nationwide. At Sun Life, we're driven... ...Senior Manager, Stop Loss and Health Claims leads our dynamic claims unit. In this...OperationsClaimsWork at officeLocal areaFlexible hours$116.5k - $174.8k
...Associate Director, Stop‑Loss Product Development Sun Life embraces... ...states plus AK. Responsibilities Lead and support the end‑to‑end... ...across underwriting, actuarial, claims, finance, legal, state filing... ...using financial and operational metrics and recommend enhancements...OperationsClaimsWork at office$116.5k - $174.8k
Associate Director, Stop‑Loss Product Development Sun Life embraces... ...plus AK. Responsibilities Lead and support the end‑to‑end development... ...underwriting, actuarial, claims, finance, legal, state filing... ...using financial and operational metrics and recommend enhancements...OperationsClaimsWork at office$116.5k - $174.8k
...management, life, supplemental health, medical stop-loss insurance, and healthcare... ...dental practices and operate nationwide. At Sun Life, we... ...funded employers. This role leads defined product initiatives... ...across underwriting, actuarial, claims, finance, legal, state...OperationsClaimsWork at officeLocal areaFlexible hours- ...seeking a motivated and ambitious Stop Loss Analyst to join our team.... ..., eligibility, and stop loss claim data for self-funded clients,... ...continuous improvement, and operational excellence.Contribute to the... ...maintain active Life/Accident and Health Insurance Agent...OperationsClaimsContract workTemporary workWork at officeLocal area
$22.3 - $35.2 per hour
...Lead Coordinator, Collections About Navista We believe in the power... ...contributes to Cardinal Health Finance oversees the accounting... ...Team Lead assists with daily operations of the accounts receivable team... ...accurate and timely processing of claims, including denials and the...OperationsClaimsHourly payTemporary workWork at officeLocal areaFlexible hours$191k - $253k
...Lattice OS, an AI-powered operating system that turns... ...Domain Mission Capabilities Lead, Multinational Digital... ...after node loss, and scale from a 2-vehicle... ...infrastructure: how you monitor health, push updates, patch... ...or fraudulent outreach claiming to be from Anduril, please...OperationsClaimsFull timeTemporary workWork experience placementLocal areaImmediate start- The Hilb Group is seeking a motivated Stop Loss Analyst to join our team in a hybrid role across multiple agency locations including Canton, MA. The analyst will monitor stop loss reporting, analyze data, and coordinate with carriers and TPAs to ensure timely reimbursements...Claims
- ...report to the Director of Underwriting. You will manage stop‑loss data, validate premiums and claims, and coordinate with Finance, Claims, and Sales to... ...variances and maintain SOPs. The role requires 5-7 years in health plan finance or claims finance, with knowledge of...Claims
- ...Health is seeking a Reinsurance Specialist to ensure accurate stop-loss premium, claims, reimbursement data, and timely settlements for self-funded... ...Sales to resolve issues. The role requires 5-7 years in health plan finance, strong analytical skills, and experience with...Claims
- Sun Life U.S. is seeking an Associate Director, Stop-Loss Product Development to design, develop, and execute stop-loss strategies for self-funded employers. This role leads defined product workstreams within the portfolio and partners across underwriting, actuarial, finance...
- Accenture is a leading global professional services company that helps... ...digital core, optimize their operations, accelerate revenue growth... ..., absence and disability claims)3+ years working in agile delivery... ...supplemental benefits and stop loss coverage.Working knowledge of...OperationsClaimsFull timeLive inWork at officeLocal area
- Mass General Brigham Health Plan Holding Company, Inc. seeks a COB/... ...hybrid work environment. You will lead the Recoveries Team, drive... ...supervising staff, analyzing denied claims for root causes, and... ...recoveries while minimizing revenue loss. #J-18808-Ljbffr Mass General...Claims
$68.44k - $102.66k
Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated... ...Specialist ensures accurate, timely stop-loss premium, claims, reimbursement, and payment data... ...clear documentation and standard operating procedures (SOPs) for decisions and...OperationsClaimsWork from home$68.44k - $102.66k
Who We ArePoint32Health is a leading not-for-profit health and well-being organization dedicated to... ...ensures accurate, timely stop-loss premium, claims, reimbursement, and payment data for... ...clear documentation and standard operating procedures (SOPs) for decisions and...OperationsClaimsWork from home$60k
...comfortable at work. Your Title: Team Lead, Insurance You Report to: Manager, Servicing Operations Your Location: Remote/... ...Insurance team, with a focus on Total Loss Claims and Lienholder-Initiated Damage... ...generous salaries, competitive health and welfare benefits (medical,...OperationsClaimsFull timeWork experience placementImmediate startRemote workWork from homeFlexible hours- Iterative Health is a healthcare technology and services company... ...patient outcomes. We built a leading performance-driven network of... ...intersection of finance, clinical operations, and sponsor partnerships.... ...I will not bring any legal claims or actions against my current...OperationsClaimsContract workTemporary workFor contractorsFor subcontractorH1bWork at officeLocal areaWork visa2 days per week
- ...Bonus based on performance Health insurance Paid time off... ...Service Coding Charge Entry Claim Submission Errors Insurance... ...order to proactively anticipate operational and workflow-related changes... ...avoid unnecessary denials and loss of provider reimbursement. Strong...OperationsClaimsFull timeImmediate startFlexible hours
- ...Lead Dental Assistant Responsible for assisting the Clinical Director in overseeing the daily operations and supervision of the dental and clinical assistants of the Pediatric Department. The Lead Assistant will maintain a chairside assisting schedule. Clinical Responsibilities...OperationsFlexible hours
- ...DescriptionLead IT Epic Analyst - Professional Billing and Claims Position SummaryThe Lead Analyst for the Professional Billing IT team is... ...system functionality meets complex billing workflows and operational efficiencies. The Lead Analyst partners with key operational...OperationsClaimsTemporary workWork experience placementRemote work
- Arise Financial is seeking a Loss Mitigation Team Leader to guide the daily operations of a specialist team handling complex delinquent accounts, including bankruptcies, foreclosures, and loan modifications. You will coach staff, ensure regulatory compliance, and drive...Operations
- ...states plus AK. The Senior Engagement Consultant advances Health & Risk Solutions growth by leading strategic engagement initiatives, turning priorities... ...You will collaborate across Marketing, Health, Risk, Operations, IT, Data, Distribution, Client Success, and Sales...OperationsWork at office
$120k - $135k
...opportunityStrategic leadership: Lead, shape and execute strategy for... ..., including some of our UK operations, have office-based requirements... ...payments to any unverified sources claiming to be connected to Real Chemistry. We are working to stop these unauthorized activities...OperationsClaimsWork at officeLocal areaRemote work2 days per week- ...Job Description The Patient Insurance Team Lead is responsible and accountable for the financial... ...to billing questions, financial policies, claims submission and any other finance related issue. Maintain operations by following policies and procedures; studying...OperationsClaimsWork at officeFlexible hours
$125k - $150k
Financial Recovery Technologies (FRT) is a leading technology-based services firm that... ...investment community identify eligibility, file claims, and recover funds from securities class... ...sales cyclesexperience with legal or operations personas in financial services is a...OperationsClaimsTemporary workWork at office2 days per week3 days per week$130k - $150k
...industries, and a passion for health care and digital health. You will lead client engagements,... ..., quarterly, etc.)Lead operational efforts and be accountable... ...any unverified sources claiming to be connected to Real... ...Chemistry. We are working to stop these unauthorized...OperationsClaimsWork experience placementWork at officeLocal areaRemote workFlexible hours2 days per week$109.6k - $150.7k
...and X.Role PurposeServe as the ModelN system owner for Channel Operations. Lead the Model N 2.0 Automation program, driving automation and standardization of channel data management processes across claims, POS, inventory, and pricing.As the business lead, partner hand...OperationsClaimsPermanent employmentFull timeWork at officeLocal areaRelocationFlexible hoursDay shift- ...Job Description Job Description Lead Registered Behavior Technician (Lead RBT) – ABA Centers of America Full-Time Wellesley... ...clinic productivity with RBT Supervisor and Director of Operations Ensure that RBTs have time to complete billing and administrative...OperationsFull timeWeekend work
$140.5k - $175k
...talent team brings together leading minds from the travel and SaaS... ...You will define the SC team's operating model as we scale.You will... ...planTake control of your physical health with additional comprehensive... .... If you receive a message claiming to be from Perk that seems...OperationsClaimsSummer workWork at officeWorldwideRelocationRelocation package3 days per week- ...business growth.You Are:The Integration Lead Architect playing a pivotal role in ensuring... ..., performance optimization, and operational support considerations for enterprise-grade... ...Administration, Servicing, Billing & Payments, Claims, Illustrations & Quotes, Advisor/...OperationsClaimsFull timeWork experience placementLive inWork at officeLocal area
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