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$144.06k - $205.8k
...urology, immunology and women's health. Through our research and... ...that causes progressive loss of central vision. IZERVAY... ...constrained by practice capacity and operational readiness. The Lead, Access Marketing, IZERVAY... ...boards, field feedback, claims data, and customer...OperationsClaimsWork at officeRemote workWork from homeWorldwide$72k
...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 License....OperationsClaimsContract workTemporary workWork at officeLocal area- Hilb Group is seeking a motivated Stop Loss Analyst to join our team in a hybrid role serving clients across multiple locations, including... ...stop loss reporting, review carrier portals, and analyze claims data to support self-funded plans and reimbursements. The role...Claims
- 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
$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- ...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
- 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
$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$50k - $80k
...Join a growing team supporting employer Stop Loss programs and play a key role in delivering... ...wellness benefits and programs, employer funded health savings account, profit sharing, 401k,... ...-functionally with Sales, Underwriting, Claims, Policy Issuance, and Quality teams...ClaimsFull timeWork at officeRemote work$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
$97k - $189k
...handle and serve as a lead strategist on complex and... ...professional liability claims. This role is... ...will be focused on Allied Health Providers, there may be... ...exposures.Participate in large-loss reviews, escalation... ...Actuarial, Risk Control, and Operations to identify claim...OperationsClaimsFull timeWork experience placementShift work$145.6k - $209.3k
...start and end their days with our workforce operating platform. Helping people get paid, grow... ...industries. That’s what we do.We never stop learning. We never stop challenging the norm... ...looking for a talented and passionate Lead User Experience Behavioral Scientist to drive...Operations- ...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
$127.5k - $195k
..., one of Danaher’s 15+ operating companies, our work saves... ...to transform human health. Our incredible customers... ...customer and market evidence: lead voice-of-customer... ...observation, win/loss analysis, usage analysis... ...measures that protect claims, timelines, customer commitments...OperationsClaimsFull time- ...with the body's own biology and stop bleeds before they start,... ...conditions we work on affect women's health specifically, and they've gone... ...Development, and Clinical Operations across the Asset Team to maintain... ...rigorous asset narrative. Lead the publication and scientific...OperationsShift work
- ...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
- ...Implementation Manager in Massachusetts to lead and coordinate pre- and post-sales... ..., and work with Sales, Enrollment, and Claims teams to ensure timely, accurate installations... ..., with 3-5 years in client service or health care operations preferred. #J-18808-Ljbffr P32HS Point...OperationsClaims
$17.25 - $19.75 per hour
...Summer Camp Food Operations Manager - Cambridge Location : 5 Cadbury... ...around you? Are you comfortable leading groups of kids on your own... ...irritable bowelsyndrome Mental health conditions, for example,... ...apply. Reply HELP for help or STOP to cancel. #J-18808-Ljbffr...OperationsHourly payContract workFor contractorsFor subcontractorSummer workWork at officeRelocationVisa sponsorshipShift workWeekend work- ...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
$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$135.23k - $150.25k
...considered.Our TeamEversource is looking for a Lead Project Controls, Planning & Scheduling... ...Business, Distribution Business, Station Operations, Procurement and others as required to... ...to determine the merit of out-of-scope claims and reasonableness of the compensation.Coordinate...OperationsClaimsFull timeContract workFor contractorsH1bWork at officeRemote work- ...global professional services company with leading capabilities in digital, cloud and... ...Consulting, Interactive, Technology and Operations services—all powered by the world’s largest... ...support. Epic Tapestry certification in Claims, E&E, Benefits Engine, CRM, or UM - strongly...OperationsClaimsFull timeWork experience placementLive inWork at officeLocal area
- ...Embla Medical, which also owns Össur, a leading global provider of prosthetics and bracing... ...patient experience and supports clinic operations for the assigned prosthetics and/or... ...medical record prior to product delivery and claim submission. Verifies patient...OperationsClaimsWork at officeLocal area
$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- ...Lead Registered Behavior Technician (Lead RBT)–ABA Centers of America Full-Time Wellesley Hills, MA About ABA Centers of America ABA... ...clinic productivity with RBT Supervisor and Director of Operations Ensure that RBTs have time to complete billing and administrative...OperationsFull timeWeekend work
$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$21.75 - $35 per hour
...enforce all policies of Petco and Vetco Total Care. Oversee operations of Hospital and supervise the paraprofessional staff Participate... ..., national origin, disability, age, protected veteran status, or any other protected classification. Petco Health and WellnessOperationsMinimum wageLocal areaImmediate startNight shift$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
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