Senior Stop-Loss Claims Auditor (Remote)
$51.11k - $97.73kBlueCross BlueShield of South Carolina
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 include analyzing claims, communicating with stakeholders, and maintaining system reports. The pay range for this role is between $51,107.00 and $97,729.00, depending on experience and location. J-18808-Ljbffr
- ...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 workSeniorClaims
- A leading insurance brokerage in Plano, Texas, is seeking a claims manager to oversee the full lifecycle of stop loss claims. The ideal candidate has strong analytical skills, a focus on accuracy, and the ability to communicate effectively with clients and carriers. This...Remote jobSeniorClaims
- ...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 The Opportunity The purpose of this role is to provide exceptional...Remote workSeniorClaimsFull timePart timeWork experience placementWork at officeWork from home
$23.16 - $35.88 per hour
...Job Title 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, providing education, and analyzing client...Remote workSeniorClaimsFor contractorsWork at officeLocal area- ...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 workSeniorClaimsFull timeTemporary workWork at officeWork from homeShift workDay shift
- ...are seeking a highly experienced Senior Underwriter specializing in stop loss insurance to join our dynamic team... ...located in the Phoenix, AZ area working remotely ; however, highly qualified... ...funded employer group data, including claims experience, demographics, plan...Remote workSeniorClaimsWork at office
- ...Summary: • Responsible for managing the full lifecycle of stop loss claim submissions with minimal oversight. • Ensures accuracy,... ...team members by offering guidance and context Requirements: Preferred location: Plano but open to remote #LI-DG2 #LI-MM4Remote workSeniorClaims
$53.32k
...reimbursement of specific and/or aggregate medical stop loss claims. Effectively mitigate client medical... ...8:00am-5:00pm EST and will be fully remote. What You'll Do: Analyze... ...with internal auditing of claims auditors, and training of claims auditors....Remote workSeniorClaimsFull timeContract workFor contractorsWork experience placementLocal areaMonday to Friday- A leading health insurance provider is seeking a dedicated claims analyst to review and process Stop Loss claims. This role requires 5 years of relevant experience and expertise in health insurance claims management. The successful candidate will build client relationships...SeniorClaims
- 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...SeniorClaims
- A national health services organization seeks a Claims Analyst in Raleigh, NC. The role focuses on processing Stop Loss claims and requires 5 years' experience in health insurance claims. Candidates should possess strong communication and organizational skills and ideally...SeniorClaims
- A leading health insurance provider is seeking a Claims Analyst in Columbus, Ohio to evaluate and process Stop Loss claims. The candidate will build client relationships, ensure compliance with healthcare standards, and handle claims efficiently. A minimum of 5 years’...SeniorClaims
- A leading healthcare organization in Oklahoma City is seeking a claims processor to review and analyze Stop Loss claims while ensuring compliance with established standards. The ideal candidate will have a strong background in health insurance claims, effective communication...SeniorClaims
$68.2k - $102.3k
The Rhode Island Bar Assn. is seeking a Senior Manager for their Stop Loss and Health Claims team. This individual will lead complex claims operations, manage a talented team, and collaborate with various stakeholders to ensure efficiency and excellence in customer service...SeniorClaims$68.2k - $102.3k
Sun Life is seeking a Senior Manager for Stop Loss and Health Claims to lead a dynamic claims unit in Wellesley, Massachusetts. In this role, you'll manage complex claims operations, develop staff, and collaborate with key business partners. The ideal candidate has over...SeniorClaims$23.16 - $35.88 per hour
A major healthcare provider is seeking a Stop Loss Claims Analyst who will review, evaluate, and process claims. This role involves building client relationships, analyzing claims, and ensuring compliance with standards. The ideal candidate must have at least 5 years of...SeniorClaimsHourly payWork at office- A leading health insurance provider in Washington is seeking a Claims Analyst to evaluate and process Stop Loss claims while building client relationships. The ideal candidate has over 5 years of relevant experience in health insurance claims and possesses strong communication...SeniorClaims
$23.16 - $35.88 per hour
A leading healthcare organization is seeking a skilled professional to manage Stop Loss claims in Nashville, TN. This role involves evaluating and processing claims, building positive client relationships, and ensuring adherence to standards. Candidates should have 5 years...SeniorClaimsHourly pay- ...Stop Loss Claims Auditor or Senior Stop Loss Claims Auditor The Stop Loss Auditor is responsible for auditing and authorizing reimbursements of specific claims and effectively mitigate client medical stop loss claims and provide excellent customer service. Experience...ClaimsContract workFlexible hours
$68.2k - $102.3k
Crains Cleveland is seeking a Senior Manager, Stop Loss and Health Claims to lead their dynamic claims unit. This role involves overseeing complex claims operations and managing a talented team to drive customer service excellence. The ideal candidate will have 5+ years...SeniorClaims$23.16 - $35.88 per hour
A healthcare provider in Indianapolis seeks an experienced professional to review and process Stop Loss claims. The role involves evaluating claims for compliance, building client relationships, and ensuring accuracy in payment requests. Candidates should have at least...SeniorClaimsHourly pay$23.16 - $35.88 per hour
A leading healthcare organization in Boston is seeking a claims analyst to review and process Stop Loss (Excess Risk and Reinsurance) claims. The role involves building client relationships, assessing claims, and ensuring compliance with quality standards. Candidates should...SeniorClaimsHourly pay- A leading health insurance provider is looking for a detail-oriented claims analyst to evaluate and process Stop Loss (Excess Risk and Reinsurance) claims. The role involves building client relationships, analyzing claim losses, and ensuring adherence to policies and guidelines...SeniorClaims
- 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...SeniorClaims
$68.2k - $102.3k
Rhode Island Bar Assn. is seeking a Senior Manager for Stop Loss and Health Claims. This role involves leading a dynamic claims unit, overseeing complex claims operations, and managing a high-performing team. Responsibilities include optimizing processes and collaborating...SeniorClaims- Crains Cleveland is seeking a Senior Manager, Stop Loss and Health Claims to lead our dynamic claims unit. In this critical role, you'll oversee complex claims operations and manage a high-performing team while collaborating with key partners to ensure excellent customer...SeniorClaims
$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...SeniorClaimsHourly pay$51.11k - $97.73k
...authorize reimbursement of specific medical stop loss claims. Effectively mitigate client medical... ...normal business hours. This role is remote.What You'll DoAnalyze and adjudicate stop... ...with internal auditing of claims auditors, and training of claims auditors.To Qualify...Remote workSeniorClaimsFull timeContract workFor contractorsWork experience placementLocal areaMonday to FridayShift work$68.2k - $102.3k
...absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more... ...contiguous states plus AK. The opportunity: The Senior Manager, Stop Loss and Health Claims leads our dynamic claims unit. In this critical role,...SeniorClaimsWork at officeLocal areaFlexible hours$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 workClaimsFull timeWork at office
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