Director, Stop Loss Claims — Operational Excellence
$129.2k - $193.8kSun Life Financial
Sun Life Financial in Hartford, CT is seeking a Director, Stop Loss Claims. This role is vital for managing multi-site claims operations and improving client experience. The ideal candidate will have over 7 years of Stop Loss claims experience, leadership capability, and a strong grasp of claims systems. Offering a hybrid work model, the position requires collaboration across departments to enhance operational efficiencies and client service. Competitive salary range is $129,200 - $193,800. #J-18808-Ljbffr Sun Life Financial
$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 of...Claims$129.2k - $193.8k
...supplemental health, medical stop-loss insurance, and... ...dental practices and operate nationwide.Visit our website... ...least 2 days per week.Director, Stop Loss... ...ClaimsResponsible for our multi-site claims organization,... ...contribute:· Drive operational excellence by advancing claims...ClaimsLocal areaFlexible hours2 days per week$68.2k - $102.3k
...supplemental health, medical stop-loss insurance, and healthcare navigation... ...partner dental practices and operate nationwide. Visit our... ..., Stop Loss and Health Claims leads our dynamic claims unit... ...drive our continued growth and excellence in customer service. How you...ClaimsWork at officeLocal areaFlexible hours- Sun Life is searching for a Senior Manager, Stop Loss and Health Claims in Hartford, Connecticut. In this role, you will lead our dynamic claims unit, oversee complex claims operations, and manage a high-performing team. The ideal candidate will have over 5 years of experience...Claims
$23.16 per hour
...This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality... ...reports submitted to the organization, efficiency of claim operations, and adequacy of systems and procedures. Approves...ClaimsFor contractorsWork at officeLocal area$113k - $132k
Technical Manager - QNXT Consulting (Operations Focused) Location: Remote Employment Type:... ...stability, and guide teams in resolving complex claims, configuration, and integration... ...emphasis on technical leadership, operational excellence, and solution governance within...ClaimsFull timeTemporary workRemote work$101k - $151.5k
...opportunity The Associate Director, Clinical Services leads a... ...Health and Risk solutions claims organization Lead strategic... ...with business needs Maintain operational excellence: Manage operating expenses... ...3-5 years’ experience in Stop Loss or similar financial/insurance...ClaimsWork at officeLocal areaFlexible hours2 days per week$40k - $250k
...Services & Insurance Specialty Loss Adjuster Embark on an... ...leader in the industry, or a claims management expert looking for... ...company that values innovation, excellence, and employee satisfaction.... ...and Marine. As we expand our operations, we are seeking individuals...ClaimsPermanent employmentFlexible hours$100k - $231.54k
...management analytics within clinical and network operations. This position is responsible for... ...with clinical and medical directors to identify, assess and prioritize potential... ...and projectionsExperience working with claims data, including detailed line-item analysis...ClaimsHourly payFull timeTemporary workWork at officeLocal areaRemote work$146.4k - $241.6k
...reserving team as a Sr. Director. (Actuarial... ...responsible for reserving, loss analytics, and related... ...Product, Underwriting, and Claims teams to learn the... ...on a limited basis. Operational: Independently perform... ...Leadership experience. Excellent communication, collaboration...ClaimsLocal area$169.22k - $253k
...The Omnichannel Center of Excellence is dedicated to driving innovation... ...pharmaceuticals data (e.g., claims) as well as novel data sets... ...Information Technology (OIT), Sales Operations, and Medical/Regulatory/Legal... ...responsible for any claims, losses, damages or expenses...ClaimsTemporary workLocal areaRemote workFlexible hours- ...providing high levels of advocacy, excellent service, and professional... ...renewals, service requests, claims, billing and new policies... ...audits for accuracy Complete loss/claim analysis and summaries... ...impose an undue hardship on the operation of our business. TO...ClaimsFull timeWork at officeLocal area
$103k - $154.5k
...at least 2 days per week. The Opportunity The Associate Director LTD Claims is a leadership role that offers the chance to shape the... ...a high‑performing team of claims professionals, driving operational excellence, compliance, and strong engagement while ensuring...ClaimsWork at officeLocal area2 days per week$76.2k - $114.3k
...supplemental health, medical stop-loss insurance, and healthcare navigation... ...partner dental practices and operate nationwide. Visit our... ...Manager, Insurance and Claims Advocacy is a pivotal leader... ...the vision, drive operational excellence, build scalable processes, and...ClaimsLocal areaFlexible hours$128k - $176k
...strategy development and execution, operations, performance management and... ...and Residential Business Directors on all Technical Service and... ...review parts sales and warranty claims to identify potential product... ...Microsoft Outlook, Word, Excel, and PowerPoint Be able to ascend...ClaimsLive in$40 - $45 per hour
...Compensation. We are seeking an individual with excellent interpersonal and communication skills... ...unemployment and workers compensation claims. Other duties as assigned.... ...to the environment, the communities we operate in and our company. All members of our workforce...ClaimsPart timeLocal areaFlexible hours3 days per week$50k
...by targeted risk control and claims services. Our employees are passionate... ...Specialist to join our Operations team based in our Farmington,... ...coverage. Provides Loss Runs, copies of policies and... ...integrity, respect, customer driven, excellence and social responsibility....ClaimsFull timeWork at officeFlexible hours- POSITION SUMMARYThe Director of Human Resources reports directly to... ...place to meet programmatic and operational goals.Employee Development &... ...3 carriers to resolve claims in a timely manner and maintain... ...Skills:Proficient in MS Office (Excel, Word, PowerPoint).Experience...ClaimsLocal area
$110k - $125k
...necessary. Reports directly to the Director of Benefits & Health Services... ..., etc. Complete initial claim denial reviews with vendor... ...Benefits Identify opportunities for operational improvements and share... ...software applications including Excel, PowerPoint and Word, as well...ClaimsFull timeH1bLocal areaRemote workVisa sponsorshipWork visaFlexible hours$108k - $162k
...large Personal Insurance property claims in a manner consistent with... ...Major Case Manager and operate in a team environment that will... ...Adjuster for complex property losses in excess of $300,000 in value... ...have MS Office knowledge (i.e. Excel) Associate General Adjuster:...ClaimsTemporary workRemote work$142.6k - $261.5k
...solution “hot spots” exist today, such as in claims, underwriting, policy and billing. Our... ...Reinsurance Accounting and Reporting Operations/Technology Performance Management and... ...working closely with client counterparts Excellent written and verbal communication skills...ClaimsWork experience placementSummer holidayFlexible hours- ...Multi-Line Claims Adjuster A dynamic organization supplying quality... ...insurance companies' claim operations to help them meet their... ...at a reasonable cost. We excel in providing professional, knowledgeable... ...to handle large losses, catastrophe claims, business...ClaimsImmediate startRemote work
$186.49k - $278.88k
...innovative and strategic leader to serve as the Director, U.S. Neuroscience Pipeline & Established... ...brands, proactively planning for loss-of-exclusivity (LOE) scenarios to sustain... ...other application processing fee, even if claimed you will be reimbursed, this is not Otsuka...ClaimsTemporary workLocal areaFlexible hours$200k - $250k
Pentasia is seeking an Executive Director of Operations to drive operational excellence across the enterprise. This role demands both strategic vision and tactical execution, functioning as a chief-of-staff partner to leadership. Key responsibilities include leading complex...$92k - $125k
...specialty and property and casualty operations, there are always... ...service providers protection from claims alleging an act, error, or omission... ..., Risk Management, and Loss Prevention with projects, including... ...knowledge. Demonstrates excellent analytical, negotiation, and...ClaimsFull timePart timeFor contractorsSeasonal workRemote work- ...Manager oversees all Guest Services ground activities and day-to-day operations in their assigned locations while providing leadership and... ...teams ~ Experience and proficiency using Microsoft Office (Excel, Word, PowerPoint) ~ High performance orientation, ability to...Work experience placementWork at officeLocal areaFlexible hours
$23.16 - $35.88 per hour
A healthcare company in Hartford, Connecticut, is seeking a Pricing Analyst to evaluate group contract pricing based on claims and group characteristics. The role involves managing accounts, analyzing risk, and preparing underwriting reports. Candidates should possess...ClaimsHourly payContract workWork at office- ...Employee Partners to support the Engineering & Operations organizations. Currently, we have an... ...Supply Chain, Core Quality, Operational Excellence, Production Chiefs) organizations. These roles will report to the Associate Director, Human Resources Employee Partner Leader...
$194k - $308k
...overall leadership and direction for loss cost management, and major case... ...Formulates strategic priorities and operational objectives for technical claim management and/or processes for the... ...organization, cultivating a culture of excellence. Champions CNA with an expert level...ClaimsTemporary workWork experience placementWork at office- ...leading insurance firm in Glastonbury, Connecticut is looking for a Claims Specialist to manage professional liability claims. The role... ...degree. Candidates should have strong legal knowledge and excellent communication skills. This position offers a competitive salary...Claims
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