Remote Stop-Loss Claims Auditor | Analytics-Driven Quality
W. R. Berkley Corporation
- Remote job
W. R. Berkley Corporation is seeking a Stop Loss Claims Auditor to perform quality reviews of claim submissions. Candidates can be fully remote or based in specific offices in the northeastern US. The company emphasizes teamwork and provides numerous benefits including competitive salaries, paid time off, and a supportive culture. The ideal candidate will have at least 3-5 years of relevant claims experience, strong analytical skills, and attention to detail. Additional perks include a robust health coverage and stock options. #J-18808-Ljbffr W. R. Berkley Corporation
$53.9k
...underwriting solutions. The qualities and capabilities of... ...Description The C&F Stop Loss Accounting department... ...internally with Claims, Policy, Digital Transformation... ...relationship builder Analytical, business minded... ...opportunities, and an employee-driven corporate giving...Remote jobQualityClaims$70k - $80k
...and a strong emphasis on analytics, we help employers better... ...products, including employer stop loss, benefit captives,... ...Responsibilities As a Stop Loss Claims Analyst , you'll perform quality review and evaluation of... ...can either be fully remote (if not within commutable...Remote workQualityClaimsFull timeWork at office$23 - $24 per hour
...Stop Loss Claims Specialist I-Specific Fully Remote Allied Benefit Systems Overview Salary Range $23.00 - $24... ...with Microsoft Excel. Strong analytical and problem solving skills. Excellent... ...Functional/Technical Skills Quality Focus Time and Task...Remote workQualityClaimsHourly payFull timeContract workWork experience placementWork at officeWork from home$34.8k
...Claims Support Specialist Since 2000, Crum & Forster... ...solutions. The qualities and capabilities of A&... ...to needs in Employer Stop Loss, Excess Medical, Life,... ...metro area, but open to remote for the right... ...opportunities, and an employee-driven corporate giving...Remote workQualityClaimsWork at office$70k - $80k
W. R. Berkley Corporation is seeking a Stop Loss Claims Analyst. This role involves performing quality reviews and adjudicating claims to ensure accuracy and compliance... ...a generous profit-sharing plan. The role can be remote or hybrid depending on proximity to an office....Remote jobQualityClaimsContract workWork at office$140k - $155k
...Job Description Job Description Manager, Stop Loss Claims (Remote) Amwins Accident & Health Underwriters, formerly known as Beacon Risk... ...point, and applying expert judgment to drive consistent, high-quality outcomes. This role will be responsible for some...Remote workQualityClaimsContract workWork at office$66k - $125k
Sr. Claims Specialist Join to apply for the Sr. Claims Specialist... ...managing the full lifecycle of stop loss claim submissions with... ...Ensures accuracy, timeliness, and quality in the claims process, serving... ...location: Plano but open to remote Seniority level: Mid-Senior...Remote workQualityClaimsFull time$54.1k - $81.2k
...management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We... ...position is responsible for reviewing claims, interpreting and comparing contracts,... ...and meet departmental production and quality metrics An awareness of industry claim...Remote workQualityClaimsContract workWork at officeLocal areaFlexible hours- ...insurance provider is seeking a Claims Analyst in Columbus, Ohio to evaluate and process Stop Loss claims. The candidate will... ...is required, along with strong analytical and organizational skills. Join... ...dynamic team focused on delivering quality service in a fast-paced...QualityClaims
- ...our Group Insurance Medical Stop Loss (MSL) Distribution team. As a... ...territory to support a high‑quality MSL RFP pipeline. Collaborate... ...underwriting, commissions, contracts, claims). Coordinate marketing, sales... ...travel up to 50%. This is a remote role. Benefits Market...Remote workQualityClaims
$30.49 - $46.03 per hour
...Responsibilities As a Coding Auditor, you will be a... ...medical coding claim defects before... ..., exceptional analytical skills, and meticulous... ...solving approach, driven by a commitment to... .... As a remote employee, we will... ...safest and highest quality of care provided by...Remote workQualityClaimsWork at officeWork from home$23.16 - $35.88 per hour
...organization in Boston is seeking a claims analyst to review and process Stop Loss (Excess Risk and Reinsurance)... ...claims, and ensuring compliance with quality standards. Candidates should have... ...on experience, and requires strong analytical and communication skills. #J-18808...QualityClaimsHourly pay$23.16 per hour
...reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building... ...work independently. Problem Solving and analytical skills. Language None Travel Requirement...QualityClaimsWork at office$26.44 - $36.06 per hour
...Inpatient Coding Auditor will be responsible... ...is met. Perform quality checks/audits on... ...initiated before the claim is rebilled to the... ..., SharePoint) ~ Analytical skills (problem... ...schedule in a deadline driven environment ~... ...#LI-CM1 #LI-Remote The estimated pay...Remote workQualityClaimsHourly payPermanent employmentWork at officeLocal areaImmediate startFlexible hoursDay shift$90k - $110k
...Stop Loss Underwriter Berkley Accident and Health is a risk management... ...and a strong emphasis on analytics, we can help employers better... ...'s clinical, actuarial, claims and distribution departments,... ...position can either be fully remote (if not within commutable distance...Remote workClaimsFull timeWork at office$80k - $90k
The Supervisor, Claims Audit - A&H Core Team, is responsible... ...a team of claims auditors focused on reviewing... ...made under Medical Stop Loss policies issued to Skyward... ...stakeholders to drive quality results and client... ...COBRA, FMLA, etc.) Strong analytical skills with attention...QualityClaimsMinimum wageContract workWork at office$70k - $85k
...and recoup or prevent losses due to errant billing... ...clients to focus on quality of care and healthier... ...all. Medical Coding Auditor - Inpatient (Remote) Location: Remote. Full... ...physiology. Strong analytical and problem‑solving... ...review for all provider/claim types. Experience...Remote workQualityClaimsFull timeWork at officeHome office$60k - $70k
Medical Stop Loss Underwriter - Remote! A growing and innovative organization in the healthcare insurance... ...is seeking a detail-oriented and analytical Medical Underwriting Analyst to support... ...Analyze specific and aggregate claims experience and risk parameters Review...Remote jobClaimsImmediate start- ...emergency medical claims to guiding customers... ...a Senior Internal Auditor, you will play a... ...for a proactive, analytical professional seeking... .... Self driven, autonomous, and accountable... ...e. deliver a high-quality result within the... ...: This is a Remote role. The candidate...Remote workQualityClaimsTemporary workInternshipLocal areaMonday to Friday
- ...with coding regulations. The candidate will evaluate medical claims and facilitate appeals, contributing to quality assurance and regulatory compliance. An active RN license is essential, along with analytical problem-solving skills. Competitive pay is offered, with...Remote workQualityClaims
- ...benefit brokers and consultants, stop loss carriers, and various... ...financial interests. This is role is remote; however, it will require... ...underwriters, actuaries, and claims professionals, to develop comprehensive... ...Functional Skills Strong analytical skills with the ability to...Remote jobClaimsFull timeWork at officeWork from home
- ...seeking an Inpatient Medical Coding Auditor to review hospital claims for reimbursement accuracy. This remote role requires strong attention to detail... ...and benefits package in a metric-driven environment focused on wellness and quality healthcare. #J-18808-Ljbffr...Remote workQualityClaims
- ...Management is seeking a Hospital Claims Auditor responsible for ensuring the quality of claims processes and compliance... ...include strong organizational, analytical, and communication abilities, along... ...coding and contracting. This is a remote position. #J-18808-Ljbffr...Remote workQualityClaims
$34.23 - $61.15 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS... ...of inpatient claims. Employing both industry... ...high emphasis on quality Provide... ...investigative and analytical areas Work in a... ...environment that is matrix driven What are the... ...in a remote environment and deliver...Remote workQualityClaimsHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package- ...organization looking for a Total Loss Adjuster to join our... ...to providing quality service to our agents and... ...underwriting, and strategic claims handling. Our ongoing... ...adjusters for a fully remote total loss opportunity... ...valuation and estimation. Analytical thinking and problem-...Remote workQualityClaimsTemporary workFlexible hours
- Skywardinsurance is looking for a Supervisor, Claims Audit, to lead a team focused on reviewing claims under Medical Stop Loss policies. This hybrid role requires oversight... ...field. Join us and enhance our claims audit quality while mentoring a skilled team and collaborating...QualityClaims
- ...high‑severity property claims end‑to‑end -... ..., and resolve complex losses while guiding customers... ...regulations and strong file quality standards. Building trusted... ...preferentially) Data‑driven analytical approach; enthusiasm... ...listed above. For remote technical positions located...Remote workQualityClaimsFull timeTemporary workFor contractorsFlexible hoursShift workWeekend work
$71.1k - $97.8k
...Inpatient Medical Coding Auditor extracts clinical... ...review inpatient hospital claims for proper reimbursement... ...result-oriented and metrics-driven environment. If you are... ...impact WORK STYLE: Remote/work at home. While... ...leading to a better quality of life for people with...Remote workQualityClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$65k - $75k
A healthcare solutions company is seeking an Account Manager with at least 2 years of experience in stop loss, claims, underwriting, or sales. The role involves managing client relationships, overseeing the post-sale process, and ensuring a positive onboarding experience...Remote jobClaims- Curative is seeking a Senior Auditor, Healthcare Claims responsible for leading audits and ensuring compliance... ...expertise in healthcare claims and analytics. Join us in our mission to make healthcare accessible while working remotely. We offer competitive benefits,...Remote jobQualityClaims
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