Remote Medical Stop-Loss Claims Examiner
Crum & Forster
- Remote job
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 authority and collaborates to strengthen underwriting support. The position emphasizes accuracy, stakeholder communication, and efficient handling of high-priority claims in a large, stable organization. #J-18808-Ljbffr Crum & Forster
- Allied Benefit Systems, Inc. is seeking a Stop Loss Claims Specialist II to manage medical stop loss claims and ensure reimbursements from carriers. The role... ..., and proficiency in Microsoft Office. This fully remote position offers a competitive salary and generous benefits...Remote jobMedicalWork at office
$34.8k
...Claims Support Specialist Since 2000, Crum & Forster... ...both special risk and medical solutions, A&H works... ...to needs in Employer Stop Loss, Excess Medical, Life,... ...area, but open to remote for the right candidate... ...review by the Claims Examiner team Enter various...Remote workMedicalWork at office- Stop Loss Underwriters-Multiple Positions. Hartford, CT to 120k(DOE), bonus.National insurance... ...guidelines.Establish the basics of medical underwriting by training with and learning... ..., benefits, etc.4 days in office 1 day remote.Qualified candidates should submit their...Remote workMedicalWork at office
- ...technology platform, the full-time or part-time Stop Loss Underwriter will manage complex... ...health insurance regulations while working remotely in the Eastern Time Zone. Key... ...advanced degree preferred 3-7 years of medical and pharmacy underwriting experience with...Remote workMedicalFull timePart time
$60k - $70k
...Medical Stop Loss Underwriter - Remote! A growing and innovative organization in the healthcare insurance and risk solutions space is seeking a detail... ...underwriting guidelines Analyze specific and aggregate claims experience and risk parameters Review large claim information...Remote workMedicalImmediate start$90k - $125k
Job DescriptionLocation: Remote (United States)About Acrisure A global... .... Job Summary:The Senior Stop Loss Underwriter is responsible... ...sales, clinical, policy, and claims teams to deliver sound underwriting... ...large claimant reports and medical diagnosesProficiency in...Remote workMedicalFull timeContract workImmediate startFlexible hours- ...Senior Medical Stop Loss Underwriter Hiring FAST! Industry: Finance Location: Minneapolis,... ...W2 Only NO C2C Setting: Hybrid and Remote Opportunities Duration: 3+ months... ...evaluation and pricing/rating Review of claims experience and high-cost claimants Specific...Remote workMedical
$90k - $110k
...products, including employer stop loss, benefit captives, provider stop... ...States. #LI-AV1 #LI-remote The company is an equal employment... ...'s clinical, actuarial, claims and distribution departments,... .... Establish the basics of medical underwriting by training with...Remote workMedicalFull timeWork at office- ...Underwriter specializing in stop loss insurance to join our dynamic... ...The Senior Underwriter – Medical Stop Loss is responsible for... ...the Phoenix, AZ area working remotely ; however, highly qualified... ...employer group data, including claims experience, demographics, plan...Remote jobMedicalWork at office
$110k - $125k
...possible. Job Summary: The Senior Stop Loss Underwriter is responsible... ...sales, clinical, policy, and claims teams to deliver sound... ...reviewing large claimant reports and medical diagnoses Proficiency in... ...models and rating tools #LI-Remote #LI-SS1 Pay Details: The...Remote workMedicalContract workImmediate startFlexible hours$137k - $168.5k
A leading insurance firm is seeking an AVP Underwriting Manager for Medical Stop Loss Insurance responsible for leading an underwriting team, developing underwriting strategies, and managing the overall underwriting process. The ideal candidate should have at least 8 years...Remote jobMedical- Sun Life U.S. is seeking a Claims Resolution Consultant to act as a subject matter expert in Stop Loss medical claims and be the primary contact for complex inquiries, escalations, and resolution support. You will independently manage end-to-end inquiry resolution with...Medical
$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... .... The ideal candidate has over 10 years of experience in medical stop loss claims, a deep understanding of claims processes, and...Remote jobMedical- Imagine360, LLC is looking for a Stop Loss Claims Auditor to join their team in a fully remote capacity. This individual will... ..., ensuring claims are examined, audited, and processed accurately... ...Degree, along with 3-5 years of medical claims processing experience. Strong...Remote jobMedical
- A leading insurance provider is hiring a Claims Support Specialist in the Phoenix area to coordinate claims intake and assist the claims... ...have a high school diploma and office experience, ideally in medical claims. The company offers competitive compensation, benefits,...Remote jobMedicalWork at office
$54.1k - $81.2k
...Claims Resolution Consultant The Claims Resolution Consultant serves as a subject matter expert in Stop Loss medical claims and is the primary point of contact for complex claim inquiries, escalations, and resolution support. This role combines deep technical expertise...MedicalContract workFlexible hours- Prudential is seeking a Head of Stop Loss Claims to build and lead the claims organization within Medical Stop Loss operations. This remote role focuses on developing scalable workflows, driving innovation in claims processes, and delivering an exceptional experience for...Remote jobMedical
- Manager, Stop Loss Claims(Remote)Amwins Accident & Health Underwriters, formerly known as Beacon Risk Strategies, is conducting a search looking... ...to even the most challenging risk. Expertise includes Medical Stop Loss, Hospital Indemnity Plans, and other niche A&H products...Remote workMedicalContract workWork at office
$60k - $65k
...POSITION SUMMARY The Supervisor, Stop Loss is responsible for assisting... ...and tracking stop loss claim filings, reimbursements, and... ...computer work. WORK ENVIRONMENT Remote Here at Allied, we believe that... ..., but not limited to, Medical, Dental, Vision, Life and Disability...Remote workMedicalFull timeWork experience placementWork from home$18 - $19 per hour
Join to apply for the Claims Examiner (remote) role at Cognizant Join to apply for the Claims Examiner... ...(i.e., subrogation, COB, MVA, stop loss claims, and potential stop loss files)... ...systems using dual monitors Knowledge of medical terminology, CPT-4, ICD-9, ICD-10, HCPCS...Remote jobMedicalHourly payFull timeTemporary workWork at officeWork from home$64.7k
...our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various... ...slate of products that are tailored to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary and Supplemental benefits....MedicalWork experience placementWork at officeFlexible hours$105.4k
...our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various... ...and create profitability analyses and reviewsAnalyze stop loss program experience and develop appropriate corrective actionsCreate...Remote workMedicalWork at office$53.9k
...portfolio, which spans both special risk and medical solutions, A&H works on an international... ...ever-changing insurance market.The C&F Stop Loss Accounting department of the Accident &... ...position will interact internally with Claims, Policy, Digital Transformation, IT,...Remote workMedical- ...driven Associate Captive Sales Executive to help grow our medical stop-loss captive programs. This is an excellent opportunity for a relationship... ...downtown McKinney, Texas, we offer a collaborative culture, remote work flexibility, and outstanding growth opportunities within...Remote workMedicalFlexible hours
$90k - $110k
...profitable growth of the company's portfolio of stop loss business by analyzing and selecting... ...of the Company's clinical, actuarial, claims and distribution departments, all of... ...of authority. Establish the basics of medical underwriting by training with and learning...MedicalFull time- 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 job
- Acrisure is seeking a Senior Stop Loss Underwriter to evaluate, price, and manage risk for employer-sponsored self-funded health plans.... ...marketplace. You will collaborate with sales, clinical, policy, and claims teams to deliver sound underwriting decisions that align with...Remote job
$90k - $110k
...highly experienced Commercial Auto Large Loss Claims Specialist to join their team. This... ...exposure commercial auto, trucking, and medical transport claims involving severe injuries... ...exceptional service standards. This is a fully remote opportunity offering the chance to work...Remote jobMedicalFlexible hours$96.7k - $161.2k
...join our team as a **Manager, Stop Loss Claims!****About the role**In this... ...in my career!" - Gina B., Medical Risk Manager**"I chose Symetra... ...." - Alicia L., Claims Examiner***What we offer you****Benefits... ...company.**Please review Symetra's Remote Network Minimum Requirements...Remote jobMedicalFull timeWork at officeImmediate startWork from homeFlexible hours- Imagine360 is seeking a Stop Loss Claims Auditor to join the team! This position... ...but not limited to, claims examination, auditing, reviewing, and... .... Position Location: 100% remote Responsibilities... ...of processing first dollar medical claims Processing Stop Loss...Remote workMedicalTemporary workWork at office
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