Remote Senior Stop-Loss Claims Auditor
your Jared
Wisconsin
- Remote job
Companion Life, a BlueCross BlueShield subsidiary, is seeking a claims professional to audit and adjudicate stop loss claims remotely. The role emphasizes reimbursement authorization, cost mitigation, and delivering excellent client service. You'll analyze claims, initiate investigations, communicate with carriers, generate reports, and help train staff. The position is full-time, standard hours, fully remote, with competitive pay and comprehensive benefits. #J-18808-Ljbffr your Jared
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Senior Stop-Loss Claims Auditor in Wisconsin vacancy
$49.45k
...authorize reimbursement of specific medical stop loss claims. Effectively mitigate client medical... ...8:00am-5:00pm EST and will be fully remote. What You’ll Do: Analyze and adjudicate... ...Assist with internal auditing of claims auditors, and training of claims auditors. To Qualify...Remote workSeniorClaimsFull timeContract workFor contractorsWork experience placementSecond jobLocal areaMonday to Friday$39.52k
...our customers. CTI Audit Solutions is seeking a Specific Stop Loss Claim Auditor Intern to joining our growing team! For over 30 years it... ..., insurance, data analysis, and auditing. The position is remote and approximately 20 hours per week , with flexible scheduling...Remote workClaimsHourly payInternshipWork at officeFlexible hours- Evolution Risk Partners, LLC is looking for a Stop Loss Claims Auditor or Senior Stop Loss Claims Auditor in Evanston, Illinois. The role involves auditing and authorizing reimbursements for medical claims while ensuring exceptional customer service. The ideal candidate...SeniorClaims
- Imagine360, LLC is looking for a Stop Loss Claims Auditor to join their team in a fully remote capacity. This individual will work within the Stop Loss Department, ensuring claims are examined, audited, and processed accurately to support multiple functions. The ideal candidate...Remote jobClaims
$140k - $155k
Amwins in Seattle is seeking a Manager for Stop Loss Claims to oversee complex claims, applying expert judgment to enhance outcomes. This role involves mentoring claims professionals and collaborating with internal teams for effective claim adjudication. The ideal candidate...Remote jobSeniorClaims- Imagine360 is seeking a Stop Loss Claims Auditor to join the team! This position is part of the Stop Loss Department and supports multiple functions... ...Loss processes and procedures. Position Location: 100% remote Responsibilities Demonstrate above average technical...Remote workClaimsTemporary workWork at office
$90k - $125k
Job DescriptionLocation: Remote (United States)About Acrisure A global fintech leader... ...highest levels possible. Job Summary:The Senior Stop Loss Underwriter is responsible for... ...collaborates with sales, clinical, policy, and claims teams to deliver sound underwriting...Remote workSeniorClaimsFull timeContract workImmediate startFlexible hours- ...employee benefit brokers and consultants, stop loss carriers, and various clinical point... ...protect their financial interests. This is a remote role; however, it will require travel and... ...clinicians, underwriters, actuaries, and claims professionals, to develop comprehensive risk...Remote jobSeniorClaimsFull timeWork at office
$80k - $90k
...mission. We are a mission with a company. The Sr. Manager of Stop-Loss Operations is responsible for building and leading the stop-loss... ...operations, from policy setup and filings through renewals and claims reimbursement, ensuring zero-error execution and a seamless experience...Remote jobSeniorClaimsLocal areaFlexible hours- Tokio Marine HCC is seeking a Claims Auditor to evaluate liability on submitted claims for individuals. The role requires reviewing health coverage, auditing documents, and establishing reserves within set timeframes. Responsibilities include communicating with internal...SeniorClaims
- Brown & Brown, Inc. is seeking a Health Claims Stop Loss Claims Auditor to conduct in-depth audits of high-complexity claims files for accuracy, compliance with procedures, and regulatory requirements. The role involves reviewing claims for accuracy, documenting findings...Claims
- Brown & Brown, Inc. (NYSE: BRO) is seeking a detail-oriented analyst to analyze aggregate stop loss and accommodation claims. You will validate eligible expenses under the contract, perform enrollment calculations to ensure correct attachment, and produce audit deliverables...ClaimsContract work
- ...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
Evolution Risk Partners, LLC
Evanston, ILmore than 2 months ago - Jobtailor in Newark, NJ is seeking an experienced Senior Underwriter to manage large, complex Medical Stop Loss cases with minimal oversight. You will determine accept/modify/decline decisions using client data, claims history, and applicable regulations. You will apply...SeniorClaims
- Alliant Insurance Services seeks a senior-level professional to provide analytical and consultative support for stop loss and high-cost claim management. You will lead clinical risk analysis, cost containment initiatives, and client renewal discussions in a fast-paced...SeniorClaims
- Sun Life U.S. is seeking a Senior Claim Analyst to lead the evaluation, investigation, negotiation, and settlement of complex Health and Stop Loss claims. You will manage claim risk, mentor staff, and coordinate with policyholders, brokers, and internal partners to ensure...SeniorClaims
- ...a leading provider of employee and government benefits, offering a broad portfolio and operating nationwide. The Senior Manager, Stop Loss and Health Claims, will lead a high-performing claims unit, oversee complex claim evaluations, and collaborate with third-party administrators...SeniorClaimsWork at officeFlexible hours
- Sun Life U.S. is hiring a Senior Manager, Stop Loss and Health Claims in a hybrid role. You will lead a dynamic claims unit, oversee complex claims operations, and drive customer service excellence across Sun Life's partnerships and internal teams. You will manage staff...SeniorClaims
- 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...SeniorClaimsWork at officeFlexible hours
- Crum & Forster is seeking a claims professional to support its Accident & Health division's medical stop loss line. The role involves evaluating eligibility, processing payments, and maintaining reporting with teammates and partners. The candidate works within documented...Remote jobClaims
- Acrisure is seeking a Stop Loss Underwriter to evaluate, price, and manage risk for employer-sponsored self-funded health plans. You will... ...competitive. Collaboration with sales, clinical, policy, and claims teams is essential to deliver sound underwriting decisions. The...Remote jobClaims
- Acrisure is seeking a Stop Loss Underwriter to evaluate, price, and manage risk for employer-sponsored self-funded health plans. The role... ...Underwriter collaborates with sales, clinical, policy, and claims teams to deliver sound underwriting decisions aligned with company...Remote jobClaims
- Acrisure is seeking a Stop Loss Underwriter to evaluate, price, and manage risk for employer-sponsored self-funded health plans. You will... .... You will collaborate with sales, clinical, policy, and claims teams to align decisions with guidelines and financial goals, with...Remote jobClaims
$68.2k - $102.3k
...absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more... ...the 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- Allied Benefit Systems, LLC in Chicago, IL seeks a Supervisor, Stop Loss to assist the Manager with overseeing the department, auditing stop loss filings, reimbursements, and related cash advance claims. Collaboration with the Stop Loss Data Specialist and Reimbursement...Remote jobClaims
- Skyward Specialty Insurance Group in the United States invites a Senior Underwriter or AVP to lead medical stop-loss underwriting, managing producers and clients to achieve profitable growth. You will evaluate risk, quote or decline, negotiate terms, coordinate medical...Remote jobSenior
- ...2026-08-22Humana Inc. is seeking a Senior Medical Coding Outpatient Auditor to lead coding-focused audit activities... ....The role involves researching claims anomalies, applying CPT/HCPCS guidelines... ...teams to improve audit strategies. Remote work with occasional travel is...Remote workSeniorClaims
- Manager, Stop Loss Claims(Remote)Amwins Accident & Health Underwriters, formerly known as Beacon Risk Strategies, is conducting a search looking... ...claims, employing cost containment solutions, serving as a senior escalation point, and applying expert judgment to drive...Remote workClaimsContract workWork at office
- CVS Health is seeking a Senior Project Manager to support the Stop Loss business and lead critical cross-functional initiatives from planning through implementation. This role drives strategic and operational projects impacting underwriting, actuarial, finance, sales, account...Remote jobSenior
- The Underwriter of Employer Stop Loss is responsible for evaluating and analyzing risk. This role involves reviewing submissions, assessing... ...Impact Review and analyze employer stop loss data, including claims experience, demographics, and plan design. Assess medical...SeniorClaimsWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Senior Stop-Loss Claims Auditor. Be the first to apply!
