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
$70k - $80k
...Accident and Health, based in San Antonio, Texas, is seeking a Stop Loss Claims Auditor. In this role, you will evaluate claims submissions to... ...schedule for your convenience, allowing flexibility between remote and in-office work. To thrive, candidates should have 3-5+...Remote jobClaimsWork at office- Berkley Accident and Health is hiring a Stop Loss Claims Auditor to review and evaluate claim submissions, ensuring eligibility for reimbursement. The role supports a hybrid work model with remote possibilities and offices in multiple states. The candidate should have...Remote jobClaims
$70k - $80k
...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... ...employer. Responsibilities As a Stop Loss Claims Auditor (a.k.a. "Claims Analyst"), you’ll...Remote workClaimsFull timeWork at office$60k - $70k
...Medical Stop Loss Underwriter - Remote! A growing and innovative organization in the healthcare insurance... ...completeness prior to quote release Validate underwriting data and ensure compliance... ...Analyze specific and aggregate claims experience and risk parameters Review...Remote workClaimsImmediate start$100k
...for the Premium Auditor role at Brown & Joseph... ...audit and loss control prevention... ...schedule to maximize optimal use of time... ...customers and staff. Valid driver’s license... ...00.00 4 days ago REMOTE -Audit Senior - (... ...weeks ago Senior Claim Benefit Specialist - Stop Loss REMOTE -Audit...Remote workClaimsWeekly payFull timeLive inImmediate startWork from homeHome office2 days per week- 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
- Imagine360 is seeking a Senior Stop Loss Specialist to join the team!... ...and submission of stop loss claims. This position maintains a comprehensive... .... Position Location 100% remote Responsibilities Stop Loss... ...ongoing feedback to help optimize quality performance....Remote workClaimsTemporary workWork at office
$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR... ...help us advance health optimization on a global scale. Join... ...auditing of inpatient claims. Employing both... ...proprietary tools, you will validate ICD-10 diagnosis and procedure... ...independently in a remote environment and...Remote jobClaimsHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package$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- Questpro is seeking a Remote Stop Loss Claims Analyst to manage claims processes and eligibility determinations. The role involves interacting with internal teams, clients, and carriers to ensure timely processing of stop loss claims, and requires 3-5+ years of relevant...Remote jobClaimsWork at office
$96.7k - $161.2k
...opportunity to join our team as a **Manager, Stop Loss Claims!****About the role**In this role, you... ...other leaders, to ensure compliance, optimize workflows, and position the team for... ...our company.**Please review Symetra's Remote Network Minimum Requirements:**As a remote...Remote jobClaimsFull timeWork at officeImmediate startWork from homeFlexible hours- Imagine360, LLC is seeking a Senior Stop Loss Specialist to join the team remotely. This role coordinates tracking, documenting, and submission of stop loss claims and maintains a thorough understanding of plan documents under their scope. You will manage claims with carriers...Remote jobClaims
- Allied Benefit Systems, Inc. is seeking a Stop Loss Claims Specialist II to manage medical stop loss claims and ensure reimbursements from... ...communication skills, and proficiency in Microsoft Office. This fully remote position offers a competitive salary and generous benefits...Remote jobClaimsWork at office
- ...Location: USA - MA, Marblehead; Atlanta, GA Work Arrangement: Hybrid or Remote The salary range for this role is: $76,000-125,500K Claims Specialist - Accident and Health (Medical Stop Loss) The Opportunity The purpose of this role is to provide exceptional claims...Remote workClaimsFull timeWork experience placementWork at officeWork from home
$86.56k - $129.84k
...Health Companies, Inc. is seeking a Patient Safety DRG Clinical Validation Auditor to work virtually full-time, facilitating in-person training... ...RN license and have at least 10 years of experience in claims auditing. Preferred candidates will have certifications such...Remote jobClaimsFull time$53.9k
...insurance market. Job Description The C&F Stop Loss Accounting department of the Accident &... ...position will interact internally with Claims, Policy, Digital Transformation, IT,... ...premium bordereaux Daily bank reports to validate accuracy of deposits and payments Monthly...Remote jobClaims$66k - $125k
Sr. Claims Specialist Join to apply for the Sr. Claims Specialist role at Lockton Responsibilities... ...for managing the full lifecycle of stop loss claim submissions with minimal oversight.... ...Preferred location: Plano but open to remote Seniority level: Mid-Senior level...Remote workClaimsFull time$82.23k - $155.81k
...is looking for a Diagnosis Related Group Clinical Validation Auditor‑RN to conduct thorough audits of medical claims. The role requires a Registered Nurse license and... ...improvement. This position primarily allows remote work while maintaining high standards for accuracy...Remote jobClaims$70k - $80k
A data analytics and solutions company is seeking a Clinical Validation Auditor to ensure accuracy in medical claims coding. This fully remote position requires a Registered Nurse with over 5 years of acute care experience. Responsibilities include reviewing medical records...Remote jobClaims$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... ...understanding of the Company’s clinical, actuarial, claims and distribution departments, all of...Remote workClaimsFull timeWork at office$24 - $26 per hour
...Stop Loss Claims Specialist II-Specific Fully Remote Allied Benefit Systems Overview Salary Range $24.00 - $26.00 Hourly Position Type Full Time Category Claims Description POSITION SUMMARY The Stop Loss Claim Specialist II (Specific) is responsible for...Remote workClaimsHourly payFull timeWork experience placementWork at officeWork from home$96.7k - $161.2k
...Description In this role, you will lead daily claims operations while driving service... ...with other leaders, to ensure compliance, optimize workflows, and position the team for future... ...Customer Experience ~Lead day-to-day stop loss claims operations to ensure quality,...Remote workClaimsFull timeWork at officeImmediate startFlexible hours$88k - $145k
Senior Claims Specialist- Accident & Health (Medical Stop Loss) Location: USA - MA, Marblehead; Atlanta, GA Work Arrangement: Hybrid or Remote The salary range for this role is: $88,000-145,000 Opportunity The purpose of this role is to provide exceptional claims service...Remote workClaimsFull timeWork experience placementWork at officeWork from home$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- ...employee benefit brokers and consultants, stop loss carriers, and various clinical point... ...their financial interests. This role is remote; however, it will require travel and in person... ...clinicians, underwriters, actuaries, and claims professionals, to develop comprehensive...Remote workClaimsFull timeTemporary workWork at officeWork from homeShift workDay shift
- ...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- ...leaders to join our Group Insurance Medical Stop Loss (MSL) Distribution team. As a member of... ...., underwriting, commissions, contracts, claims, etc.). Coordinate marketing, sales, and... ...of hire. Willingness to travel up to 50%. Remote role. Benefits Market‑competitive base...Remote workClaims
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