Remote Head of Medical Stop Loss Claims & Ops
Prudential Ins Co of America in
- Remote job
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 brokers, customers, and partners. You will oversee complex claim adjudication, establish best practices, and lead cross-functional collaboration with underwriting, finance, actuarial, and implementation teams. #J-18808-Ljbffr Prudential Ins Co of America in
$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 jobMedicalClaims- 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... ...Associate or Bachelor's Degree, along with 3-5 years of medical claims processing experience. Strong communication...Remote jobMedicalClaims
- 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 jobMedicalClaimsWork at office
- 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 workMedicalClaimsContract workWork at office
$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 jobMedicalClaimsImmediate start$90k - $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 diagnosesProficiency in... ...underwriting models and rating tools#LI-Remote#LI-SS1Pay Details:The base...Remote workMedicalClaimsFull timeContract workImmediate startFlexible hours- ...energetic leaders to join our Group Insurance Medical Stop Loss (MSL) Distribution team. As a member of... ...underwriting, commissions, contracts, claims, etc.).Coordinating Marketing, Sales,... ...willing to travel up to 50%This is a remote role.#LI-INWhat we offer you:Market...Remote workMedicalClaimsFull timePart timeWork 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 workMedicalClaims$90k - $110k
...products, including employer stop loss, benefit captives, provider stop... ...position can either be fully remote (if not within commutable... ...Company’s clinical, actuarial, claims and distribution departments,... .... Establish the basics of medical underwriting by training with...Remote workMedicalClaimsFull timeWork at office- ...benefit brokers and consultants, stop loss carriers, and various... ...financial interests. This is role is remote; however, it will require... ...underwriters, actuaries, and claims professionals, to develop comprehensive... ...teammates enjoy access to medical, dental, vision, life,...Remote jobMedicalClaimsFull timeWork at officeWork from home
- Imagine360 is seeking a Stop Loss Claims Auditor to join the team! This position is part of the... ...and procedures. Position Location: 100% remote Responsibilities Demonstrate above... ...3-5 years of processing first dollar medical claims Processing Stop Loss Claims experience...Remote workMedicalClaimsTemporary workWork at office
$34.8k
...Claims Support Specialist Since 2000, Crum & Forster's Accident... ...spans both special risk and medical solutions, A&H works on an international... ...to needs in Employer Stop Loss, Excess Medical, Life, and... ...Phoenix metro area, but open to remote for the right candidate. We...Remote workMedicalClaimsWork at office$107k - $140k
Sr. Manager, Stop Loss Claims Operations - Healthcare TPA Because health is personal. That's why... ...: This position offers flexibility for remote candidates. For candidates residing... ...reimbursement processes Strong understanding of medical terminology and coding (ICD-10, CPT,...Remote workMedicalClaimsContract workWork at office$96.7k - $161.2k
...opportunity to join our team as a Manager, Stop Loss Claims!About the roleIn this role, you will... ...been happier in my career!” - Gina B., Medical Risk Manager“I chose Symetra because I... ...with our company.Please review Symetra's Remote Network Minimum Requirements:As a...Remote jobMedicalClaimsFull timeWork at officeImmediate startWork from homeFlexible hours$67.9k
...spans both special risk and medical solutions, A&H works on an international... ...to needs in Employer Stop Loss, Excess Medical, Life, and... ...strategies for high-cost, complex claims through strategic... ...corporate giving. #LI-JA1 #LI-Remote #J-18808-Ljbffr Crum & ForsterRemote workMedicalClaimsFlexible hours- ...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 jobMedicalClaimsWork at office
- ...MedVanta DTE Clients and MSK services, reviewing and processing Stop Loss claims. This role builds positive client relationships, provides... ...insurance claims experience, proficiency in MS Excel and Power BI, and knowledge of medical terminology. #J-18808-Ljbffr MedVanta, LLCMedicalClaims
- 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 jobMedicalClaimsWork 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 collaborates with sales, clinical, policy, and claims teams to deliver sound underwriting decisions aligned with company...Remote jobClaims
- 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...MedicalClaims
- ...property & casualty insurer, seeks an experienced SL Claims professional in Scottsdale. You will evaluate stop loss claims, communicate decisions, and maintain... ...stable organization. With a minimum of 3+ years in medical stop loss claims, you will leverage MS Office skills...MedicalClaims
- Yuzu Health Inc. in New York City seeks a Stop Loss Specialist to coordinate all activities... ...ensure timely submission of stop loss claims, manage claimant reporting, and serve as... ...candidates have 2-5 years in stop loss or medical claims, strong attention to detail,...MedicalClaims
- ...NJ is seeking an experienced Senior Underwriter to manage large, complex Medical Stop Loss cases with minimal oversight. You will determine accept/modify/decline decisions using client data, claims history, and applicable regulations. You will apply underwriting...MedicalClaims
- ...Vice President of Stop Loss Underwriting About the Company Respected organization in... ...executive leadership, actuarial, sales, claims, and product development teams, playing... ...company should have a minimum of 10 years' of medical stop loss underwriting experience, with...MedicalClaims
- ...benefit consultants across all 50 states. We developed proprietary claims technology, expanded our offerings to include level-funded and... ...millions of members. We are seeking a Director of Claims & Stop-Loss Transformation to lead strategic modernization initiatives...Remote workClaimsContract workWork at office
$84.4k - $152.3k
...for the review of case management notes, large claims reports and shock reporting for individuals and groups seeking stop loss insurance quotes and renewals. The position... ...similar clinical guidelines Knowledge of medical management policies and procedures HCSC Employment...MedicalClaimsWork at officeWork from home- 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...MedicalClaims
$200k - $285k
Vice President, Stop Loss Underwriting Chicago Suburbs, IL (Hybrid) Compensation: $200K -... ...executive leadership, actuarial, sales, claims, and product development teams to help shape... ...will ideally possess: • 10+ years of medical stop loss underwriting experience • Progressive...MedicalClaims- 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
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