Senior Manager, Stop-Loss & Health Claims Leadership
Sun Life Financial
Sun Life U.S. is seeking a Senior Manager, Stop Loss and Health Claims to lead our claims unit and drive service excellence across complex cases. This hybrid role supports in-office collaboration with flexible virtual work in the contiguous states plus AK. You will direct evaluation, negotiation, and settlement of claims, mentor a team, optimize workflows, and partner with third-party administrators, brokers, policyholders, and vendors to sustain Sun Life's reputation. #J-18808-Ljbffr Sun Life Financial
$68.2k - $102.3k
...vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare... ...AK.The opportunity: The Senior Manager, Stop Loss and Health Claims leads our dynamic claims unit... ..., previous management/leadership experience preferredProven...SeniorClaimsWork at officeLocal areaFlexible hours$240k - $270k
...Senior Account Executive - Healthcare Practice... ...organizations — health plans, multi-site... ...integration), Revenue Cycle Management orchestration (denial management, claim status visibility,... ...learns from every loss. Use our SOW... ...insights back to leadership: what's working,...SeniorClaimsImmediate startRemote workFlexible hours- ...Nurse Case Manager Do you believe great outcomes happen when compassionate... ...providers, employers, and claims professionals. You will... ...updates regularly with leadership, claims professionals, employers... ...Total Rewards Overview Health Plans: Medical, Dental, and Vision...SeniorClaims16 hoursTemporary workApprenticeshipRemote workFlexible hours
$54.1k - $81.2k
...Claims Resolution Consultant The Claims Resolution... ...subject matter expert in Stop Loss medical claims and is... ...expertise as a Stop Loss Health Claims Analyst with responsibility for managing end-to-end inquiry... ...with Claims Analysts, Senior Analysts, clinical resources...ClaimsContract workFlexible hours- ...Underwriter specializing in large group and stop loss. You will evaluate, price, and manage risk for self-funded health plans, while developing and refining rate manuals... ...and profitability. The role emphasizes leadership, complex case management, and staying ahead of...Senior
- ...is seeking an experienced Large Group Stop Loss Underwriter to evaluate, price, and manage risk for large employer-sponsored self-funded health plans. This role partners with brokers... ...profitability and governance. It requires leadership in underwriting guidelines and stop...Senior
$72.5k - $108.8k
...dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare... ...office at least 2 days per week. The Senior Case Manager I, LTD conducts the... ...management of long-term disability claims. The Senior Case Manager I, LTD...SeniorClaimsContract workWork experience placementWork at officeLocal areaFlexible hours2 days per week- ...confidentiality and integrity of protected health information; follow HIPPA security... ...assistance Educate patients regarding disease management program and refer patients who chose to... ...e-mails, or even text messages claiming to be a legitimate company. Some of these...SeniorClaimsWork at officeLocal area
- ...designs, constructs, and manages projects all over the... ...profitable outcomes.Project Leadership & EPC ExecutionProvide... ...plan, safety & health plan, subcontracting plan... ...ManagementOwn project profit and loss performance.Develop and... ...contract closeout, and claims mitigation.Procurement...ClaimsContract workFor contractorsFor subcontractorWork at office
- Sun Life U.S. is seeking a Claims Resolution Consultant to act as a subject matter expert in Stop Loss medical claims and be the primary contact for complex inquiries,... ...and resolution support. You will independently manage end-to-end inquiry resolution with research, claim...Claims
$105k - $115k
...:Job Summary:The Sr. Project Manager of Client Services serves as... ...recommendations to clients and internal leadership.Manages project budgets,... ...consulting, client services, claims administration, litigation... ...and other reproductive health decisions, marital status, age...SeniorClaimsFull timeLocal areaWork visa- ...insurance company seeking a Senior Counsel, Property & Casualty... ...offers visibility to senior leadership and the chance to influence the... ...support state regulatory filings, manage regulatory inquiries, and... ...and outside counsel to address claims and #J-18808-Ljbffr Larson...SeniorClaims
$91.1k - $143.6k
...regularly with Engagement Managers (Directors), project... ...partners, public health).Develop and maintain... ...features).Knowledge of X12 (claims/EDI) for revenue cycle... ...-level employees to senior leaders, we believe there... ...new skills, take on leadership opportunities and...SeniorClaims- Overview Join to apply for the Senior Construction Manager role at ARTSMARTUK LTD. Object Technology Solutions, Inc (OTSI... ...the Civil Works part of the project. Team leadership focusing on quality and results. Write claims, order and return materials; maintain and update...SeniorClaimsContract workLocal areaImmediate startWorldwide
- ...recommendations for clients, executive leadership, and governing boards Serve as a trusted... ...with key stakeholders including City Managers, CFOs, Risk Managers, and Boards/Committees... ...risk management solutions, including claims advocacy, safety initiatives, and alternative...SeniorClaimsContract work
- Large Group Stop Loss Underwriter Allied National, Inc Overland Park, Kansas... ...for evaluating, pricing, and managing risk for large employer-sponsored self-funded health plans. They will also be... ...and Aggregate coverages Analyze claims experience, large claimant details...ClaimsWork experience placement
$76k - $110k
...ways to make caring for one’s health more achievable, connecting... ...THE POSITION : The Senior Project Manager (SPM) plays a pivotal role... ...Project Management Office (PMO) leadership to identify and mitigate... ...mails, or even text messages claiming to be a legitimate company....SeniorClaimsWork at officeLocal areaMonday to FridayFlexible hoursShift work1 day per week- Senior Counsel - Property & Casualty for Growing Insurance... ...direct visibility to senior leadership and the opportunity to... ...insurance solutions across life, health, and specialty lines,... ...handling regulatory responses Managing DOI complaints, claims-related inquiries, and...SeniorClaims
$128k - $252.5k
...ecosystem. As an Actuarial Senior Consultant, you will... ...spanning the entire health care landscape and... ...providers, pharmacy benefit managers, and federal and state... ..., or other detailed claims analytics Review... ...build new skills, take on leadership opportunities and connect...SeniorClaimsWork at officeLocal areaVisa sponsorship- Description The Senior Project Manager (SPM) is responsible for the successful delivery of projects... ...business and referrals. 9. Soft Skills & Leadership Demonstrate strong communication and... ...Risk Management: Minimal disputes or claims; proactive contract oversight. Process...SeniorClaimsContract workFor subcontractorWork at officeLocal area
- About Cedarhurst Cedarhurst Senior Living is a leading... ...Excellent interpersonal, leadership and communication skills to effectively manage the resolution of employee... ...including profit and loss, marketing, sales, regulatory... ..., to ensure the health and safety of residents,...SeniorWork at officeLocal areaFlexible hoursNight shift
- ...Senior Accounting Manager, Accounts Payable Join to apply for the Senior Accounting Manager, Accounts... ...of payables specialists, providing leadership, guidance and mentorship while driving... ...investigation of any complaint or discrimination claim. The "Know Your Rights" poster is...SeniorClaimsFlexible hours
- Behavioral Health Allies seeks an experienced Employee Relations Manager to lead investigations, advise managers, and ensure compliant... .... This role manages unemployment claims, supports regulatory reporting, and partners with leadership to strengthen workplace culture built...Claims
$76.2k - $114.3k
Senior Manager, Insurance and Claims Advocacy Sun Life U.S. is one of the largest providers of employee... ...management, life, supplemental health, medical stop-loss insurance, and healthcare... ...3+ years of progressive people leadership experience, with demonstrated success...SeniorClaimsLocal areaFlexible hours- ...ground People Partner for the Americas, working with regional GTM leadership to align people initiatives with business priorities across... ...global centers of excellence. You’ll drive org design, change management, and regional People programs to foster a hybrid, inclusive...Senior
- ...Engineers, LLC in Kansas City, Missouri is seeking a Survey Project Manager to oversee land surveying projects. The role includes ensuring... ..., and quality assurance. Ideal candidates will have strong leadership skills and a minimum of 12 years of surveying experience....Senior
$75k
...Behavioral Health Allies is seeking an experienced Employee Relations Manager to join our Human Resources team. This position... ...compliance, managing unemployment claims, and partnering with leaders... ...strategies. Partnering with HR leadership to improve HR processes,...ClaimsFull timeTemporary workWork at officeLocal areaFlexible hours- The Senior Manager, Category Sourcing is responsible for leading the execution, and management of corporate sourcing initiatives for a variety... ...in the investigation of any complaint or discrimination claim.The "Know Your Rights" Poster is included here:Know Your Rights...SeniorClaimsContract work
- University Health KC is seeking a Behavioral Health Program Manager II for the BH Futures Youth Services. This role involves providing leadership and ensuring quality service delivery by non-clinical staff in the Kansas City area. The ideal candidate will possess a master...Senior
- K&K Global Talent Solutions INC. is seeking a senior QA professional with deep Healthcare Claims Testing experience. You will lead end-to-end testing for Claims, Enrollment, and Billing using Facets, EDI, and HIPAA-compliant processes. You will coordinate with business...SeniorClaims
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