Senior Manager, Stop-Loss & Health Claims (Hybrid)
Sun Life
Sun Life U.S. is 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, brokers, and counsel to drive service excellence and growth. This hybrid role balances in-office collaboration with flexible virtual work across contiguous states plus Alaska. #J-18808-Ljbffr Sun Life
$68.2k - $102.3k
...vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare... ...Description Sun Life embraces a hybrid work model that balances in... ...AK. The opportunity: The Senior Manager, Stop Loss and Health Claims leads our dynamic claims...SeniorClaimsWork at officeLocal areaFlexible hours- Lucent Health is seeking a Stop Loss Analyst to manage financial risk for self-funded health plans, evaluating large claims, monitoring reimbursements, and supporting timely submissions across claims and finance teams. Bachelor's degree in Business/Finance/Health Administration...Claims
- ...Responsibilities Receive and post stop loss reimbursement checks received... ...or maintained in the group's claims account Account... ...Strong organization and time management skills; effectively handle multiple... ...Policy Statement Lucent Health is an Equal Opportunity...ClaimsShift work
- ...process. 3 days ago Requisition ID: 1694 About Lucent Health Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven... ...pressure or in changing environments Summary The Stop Loss Analyst plays a pivotal role in managing financial...ClaimsContract work
- CVS Health is seeking a Sr. Manager, Business Analytics to develop, maintain, and automate reports and dashboards that track medical and payment policy... ...include extracting and validating healthcare claims data, building BI solutions with Power BI, Tableau and QuickBase...SeniorClaims
$91.7k - $163.7k
...UnitedHealthcare, we're simplifying the health care experience, creating healthier communities... ...Provider Networks as well as unit cost management activities through financial and network... ...level of knowledge of claims processing systems and guidelines*All employees...SeniorClaimsMinimum wageFull timeContract workWork experience placementLocal areaRemote work$67.9k - $199.14k
We're building a world of health around every individual - shaping a more connected, convenient... ...community at a time. We are seeking a Senior Manager, Medical Economics (IC) to provide... ...will include domain ownership of Aetna claims data, data quality initiatives and best...SeniorClaimsHourly payFull timeTemporary workLocal area- ...advisory consulting services, project management, and analytical business resources in the health care industry. As a trusted... ...a HealthRules Payer claims system Implementation/Migration.... ...methodologies (Waterfall, Agile, SaFe, Hybrid). Perks Competitive pay and bonuses...SeniorClaimsFull timeLive outRemote workFlexible hours
- Marsh McLennan Agency in Nashville, TN is seeking an Employee Health & Benefits Sr. Account Associate to support client relationships and administer health and benefits programs. This role requires commuting to the Nashville office at least three days a week and contributing...SeniorWork at office3 days per week
- ...Insurance Group in Tennessee seeks a Senior Trial Attorney for a hybrid role, three days per week in a local... .... The attorney will independently manage moderate to high exposure civil cases... ...inception to resolution, coordinating with claims professionals and insured clients to...SeniorClaimsWork at officeLocal area3 days per week
- Acrisure is seeking a Stop Loss Underwriter to evaluate, price, and manage risk for employer-sponsored self-funded health plans. You will underwrite new business and renewals, assess... ...with sales, clinical, policy, and claims teams to align decisions with guidelines...ClaimsRemote job
$75k - $90k
...Lines Account Executive | Client Service Manager Salary: $75,000 - $90,000 plus comprehensive health benefits Location: Brentwood, TN | Hybrid Job Summary: As a Commercial Lines... ...inquiries, including benefits and claims issues. Review and ensure the accuracy...ClaimsWork experience placementWork at office- ...Insurance Group in Tennessee is seeking a Senior Trial Attorney to independently manage a complex civil caseload from... ...role requires collaboration with claims professionals and insured clients to... ...exceptional legal representation. This is a hybrid position with three days per week...SeniorClaimsWork at office3 days per week
- TPI Global Solutions seeks a Senior Trial Attorney to join its Tennessee... ...exempt role offers in-person, hybrid, or fully remote work options. You will independently manage complex civil litigation from... ...resolution, collaborating with claims professionals and insured clients...SeniorClaimsRemote jobFull time
- ...The Role We're looking for a Senior Marketing Manager to help execute and scale... ...Location Nashville metro area (hybrid) or open to remote for the... ..., including: Comprehensive health, dental, and vision... ...or suspicious communication claiming to be from Optura.ai, please...SeniorClaimsRemote work
$122.6k - $204.4k
...Automotive is currently seeking a Senior Manager, Absence & Accommodations to... ...and operates under a hybrid work arrangement. Candidates... ...of leave, accommodation, and claims management processes across CAI... ...functionally with Environmental Health & Safety, Workers' Compensation...SeniorClaimsRemote work$79k - $101k
...Information Food & Beverage recruiting manager, Relocation Assistance... ...and guidance of the non-senior level HR team members. CANDIDATE... ...provider to respond to unemployment claims; reviews provider reports for... ...Resources. Partners with Loss Prevention to conduct employee...SeniorClaimsFull timeWork at officeLocal areaRemote workRelocation package- The Stop Loss Underwriter is responsible for evaluating, pricing, and managing risk for employer-sponsored self-funded health plans. This role includes underwriting both new business and renewals... ...with sales, clinical, policy, and claims teams to deliver sound underwriting...ClaimsContract workImmediate startFlexible hours
- ...for an experienced Personal Lines Account Manager in Nashville, Tennessee. In this role,... ...while addressing questions on billing and claims. A minimum of 3 years of experience in personal... ...license. This position offers a hybrid schedule for added flexibility. #J-18808-...Claims
- ...growth opportunities. Our hybrid work schedule requires... ...Position Summary: The Senior Manager, Operational... ...mile route density and stops-per-hour, dock and cross... ...dock labor productivity, claims and OS&D reduction, and... ...through FirstStop Health available first day of...SeniorClaimsHourly payFor contractorsWork at officeRemote workWorldwide1 day per week
- ...reimbursement with organizational goals. The role requires strong financial analysis, excellent communication, and deep understanding of payer methodologies. Hybrid work arrangement with remote options for eligible candidates is offered. #J-18808-Ljbffr Surgery Partners, IncSeniorRemote job
- ...Claims - Litigation IHC - Senior Trial Attorney (Hybrid) Memphis, TN, USA Johnson City, TN, USA Knoxville, TN, USA Chattanooga, TN, USA Job Description... ...team. In this role, you will independently manage a complex caseload from inception through resolution...SeniorClaimsWork at officeWork from homeShift work3 days per week
$95k
...Acera Senior Account Executive Solventum, a new healthcare... ...forward by improving health for everyone. Because at Solventum, we never stop solving for you. The... ...-world impact by: Managing and growing sales of... ...schemes that falsely claim to represent Solventum...SeniorClaimsRemote workRelocation packageFlexible hours- GFT in Nashville seeks a Senior Project Manager, Transportation, to lead delivery of transportation projects from concept through final design,... ...engineering and design for roads and bridges. This role operates in a hybrid work model with 3 onsite days; 15+ years of experience,...Senior
- Optura is seeking a Senior Manager of Marketing to lead and scale go-to-market programs across digital, events, content, and partnerships.... ...Partnerships to drive measurable business impact. The role is hybrid in the Nashville area or open to remote for the right candidate...SeniorRemote job
$101.38k - $184.48k
Arcadis is hiring a Senior Traffic Design Lead to guide esteemed roadway projects in Nashville, TN... ...and overseeing project strategies. This hybrid position allows flexible scheduling, alongside benefits including health insurance, 401K, and PTO. The salary range for...SeniorFlexible hours- Surgery Partners, Inc. is seeking a Manager of Managed Care Operations to develop and drive payer negotiation and contracting strategies... ...renewals and related administration. The position supports hybrid/remote work with on-site presence at the Brentwood, TN office as...SeniorRemote jobContract workWork at office
- EY in the United States seeks a Manager in Application Design and Development to lead the delivery of SAP transformation projects and... ...modernize core processes and data. Travel 40-60% is expected, with EY offering a hybrid model and broad career growth. #J-18808-Ljbffr EYSenior
$67.2k - $115.92k
...Telephonic Nurse Case Manager ITelephonic Nurse Case Manager ILocation... ...note that per our policy on hybrid/virtual work, candidates not within... ...designed to optimize member health care across the care continuum... ...solving with providers, claims or service issues.Minimum Requirements...ClaimsFull timeWork at officeLocal areaMonday to FridayAfternoon shift- Level Group Ltd, a Nashville-based business management firm serving musicians, artists, and creators, seeks a Sr. Tax Manager to lead tax... ...emphasizes leadership, technical mastery, and collaboration within a fast-paced, hybrid work culture. #J-18808-Ljbffr Level-Group-LtdSenior
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