Remote Stop-Loss Claims Auditor: Validate & Optimize Claims
Imagine360, LLC
- Remote job
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 should have an Associate or Bachelor's Degree, along with 3-5 years of medical claims processing experience. Strong communication and analytical skills are essential for success in this role, as well as a solid #J-18808-Ljbffr Imagine360, LLC
- Imagine360 is seeking a Stop Loss Claims Auditor to join the team! This position is part of the Stop... ...procedures. Position Location: 100% remote Responsibilities Demonstrate above average... .... Provide ongoing feedback to help optimize quality performance. Collaborate with...Remote workClaimsTemporary workWork at office
- 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
- 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...Claims
- ...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
$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 jobClaims- 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
$107k - $140k
Sr. Manager, Stop Loss Claims Operations Because health is personal. That's why Personify Health... ...the enterprise. From reimbursement optimization to carrier negotiations to large-scale... ...This position offers flexibility for remote candidates. For candidates residing within...Remote workClaimsContract workWork at office- 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. This role... ...Underwriter will collaborate with sales, clinical, policy, and claims teams to deliver sound underwriting decisions aligned with...Remote jobClaims
- Allied Benefit Systems, LLC in Chicago is seeking a Stop Loss Claim Specialist to prepare and file medical stop loss claims for reimbursement... ...terminology, and strong Excel and communication skills. This remote-friendly position supports flexible work arrangements while...Remote jobClaimsFlexible hours
- Personify Health is seeking a Sr. Manager, Stop Loss Claims Operations to lead the strategy, transformation, and financial outcomes of the... ...leader who can scale processes and improve reimbursement results. Remote flexibility is offered, with on-site work required for Tempe,...Remote workClaims
- 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
$32.8 - $54.64 per hour
...exciting opportunity to join our West Region Stop Loss team as an Account Manager! About the... ...Monthly monitoring of account claim reporting requirements, premium remittances... ...our company. Please review Symetra's Remote Network Minimum Requirements: As a remote...Remote workClaimsHourly payFull timeContract workWork experience placementImmediate startWork from homeHome officeFlexible hours- Manager, Stop Loss Claims(Remote)Amwins Accident & Health Underwriters, formerly known as Beacon Risk Strategies, is conducting a search looking for an experienced Manager, Stop loss Claims.Amwins Accident & Health (Amwins A&H) has primary locations in Seattle, WA and Atlanta...Remote workClaimsContract workWork at office
$23 - $34 per hour
...Full TimeSalary Range: $23.00 - $34.00 HourlyJob Category: Claims POSITION SUMMARY The Stop Loss Claim Specialist is responsible for preparing and filing... ...extended sitting and computer work. WORK ENVIRONMENT Remote Here at Allied, we believe that great talent can thrive...Remote workClaimsContract workWork experience placementWork at officeWork from home$90k - $110k
...broad range of products, including employer stop loss, benefit captives, provider stop loss,... ...insurers in the United States. #LI-AV1 #LI-remote The company is an equal employment... ...of the Company's clinical, actuarial, claims and distribution departments, all of which...Remote workClaimsFull timeWork at office$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical Job Locations US-Remote ID 2026-18743 Category Audit - Healthcare Position Type Full-Time Overview This... ...responsible for auditing outpatient/specialty claims and documenting the results of those audits....Remote workClaimsHourly payFull timeContract workWork at officeImmediate start$50k - $80k
...Join a growing team supporting employer Stop Loss programs and play a key role in delivering... ...schedule with 4 days in the office; and 1 day remote where it makes sense to do so. What... ...-functionally with Sales, Underwriting, Claims, Policy Issuance, and Quality teams...Remote workClaimsFull timeWork at office$90k - $125k
Job DescriptionLocation: Remote (United States)About Acrisure A global fintech leader, Acrisure... ...levels possible. Job Summary:The Senior Stop Loss Underwriter is responsible for evaluating... ...with sales, clinical, policy, and claims teams to deliver sound underwriting decisions...Remote workClaimsFull timeContract workImmediate startFlexible hours- ...all 50 states. We developed proprietary claims technology, expanded our offerings to include... ...We are seeking a Director of Claims & Stop-Loss Transformation to lead strategic... ...opportunities for workflow automation, TPA platform optimization, EDI improvements, and operational...Remote jobClaimsContract workWork at office
$60k - $65k
...Operations POSITION SUMMARY The Supervisor, Stop Loss is responsible for assisting the Manager,... ...include auditing and tracking stop loss claim filings, reimbursements, and cash advance... ...and computer work. WORK ENVIRONMENT Remote Here at Allied, we believe that great talent...Remote workClaimsFull timeWork experience placementWork from home$100k
...the Premium Field Auditor (Hybrid) role at Brown... ...audit and loss control prevention... ...schedule to maximize optimal use of time Correspond... ...home and complete remote audits 2-3 days per... ...customers and staff. Valid driver’s license and... ...& Auditing Complex Claims Consultant - Architect...Remote workClaimsWeekly payFull timePart timeLocal areaImmediate startWork from homeHome office2 days per week3 days per week- ...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 jobClaimsFull timeWork at office
- Cotiviti is seeking a Senior Auditor, Team Lead, to supervise a Clinical Validation auditing team. You will manage workflow, ensure quality outcomes, and drive... ...while training new hires. The role focuses on accurate claims auditing and client satisfaction. The position...Claims
- ...experienced Senior Underwriter specializing in stop loss insurance to join our dynamic team.... ...located in the Phoenix, AZ area working remotely ; however, highly qualified candidates... ...‑funded employer group data, including claims experience, demographics, plan design,...Remote jobClaimsWork at office
$34.8k
...Claims Support Specialist Since 2000, Crum & Forster's Accident & Health division (A&... ...of products tailored to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary and... ...located in the Phoenix metro area, but open to remote for the right candidate. We are hiring...Remote workClaimsWork 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 jobClaimsLocal areaFlexible hours- ...with primary focus on employer stop loss pricing - both specific (... ...funded block, evaluating large claims, leveraged trends, credibility... ...peer review and technical validation Support settlement and experience... ...arrangements to work remotely Generous PTO policy plus 11...Remote workClaimsFull timeContract workFlexible hours
$71.8k - $133.7k
...communities.BRIEF DESCRIPTIONThe Stop Loss Consultant role is tasked with supporting... ...on behalf of clients to secure optimal, cost-competitive benefit plans;Validate renewals and proposals for... ...MMA Agency;Help support Stop Loss claims tracking process;Help compile the...ClaimsMinimum wageWork experience placementLocal areaFlexible hours$53.2k
...products that are tailored to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary and... ...a successful sales strategySend large claims reporting for nurse review Develop... ...opportunities, and an employee driven corporate giving. #LI-JA1 #LI-Remote #J-18808-Ljbffr CfinsRemote workClaimsFlexible hours
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