Senior Stop Loss Claims Strategist
Highmark Health
A healthcare organization based in Phoenix, AZ, is seeking a claims analyst to review and process Stop Loss claims. The role involves building client relationships, analyzing claim losses, and ensuring compliance with policy standards. Candidates should have at least 5 years of relevant experience in health insurance claims and strong analytical skills. This position offers a competitive salary range and the opportunity to engage in dynamic client service environments. #J-18808-Ljbffr Highmark Health
$23.16 per hour
...Company: Highmark Inc. Job Description: This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing...SeniorClaimsFor contractorsWork at officeLocal area- ...client relationships with employee benefit brokers and consultants, stop loss carriers, and various clinical point solutions providers.... ...functional teams, including clinicians, underwriters, actuaries, and claims professionals, to develop comprehensive risk management...SeniorClaimsRemote jobFull timeWork at officeWork from home
$53.9k
...in an ever-changing insurance market. Job Description The C&F Stop Loss Accounting department of the Accident & Health, Medical Business... ...team. This is position will interact internally with Claims, Policy, Digital Transformation, IT, Actuarial and externally with...SeniorClaimsRemote job- ...Senior Underwriter - Medical Stop Loss Avon, CT; Houston, TX; Phoenix, AZ Why Jencap? We are one of the largest wholesale insurance intermediaries... ...complex self?funded employer group data, including claims experience, demographics, plan design, and funding structures...SeniorClaimsWork at officeRemote work
- Chubb Ltd. is seeking an experienced claims adjuster in Phoenix, Arizona, to handle total loss claims with a focus on superior customer service and compliance with state guidelines. The ideal candidate will have a bachelor's degree, over five years of experience in insurance...SeniorClaims
- Crum & Forster in Phoenix, Arizona, is searching for a talented individual to join their Stop Loss Accounting department. This role will engage with both internal teams and external partners to ensure alignment on accounting issues. You will be responsible for premium accounting...Senior
- Atlantic Casualty Insurance Co. is seeking an experienced individual to manage complex, high-value claims and suit files independently. The successful candidate will handle cases involving coverage, liability, damages, and injuries, and may provide technical assistance...SeniorClaims
- CorVel is seeking a Senior Claims Specialist in Phoenix, Arizona to manage complex Workers' Compensation claims effectively. This role involves working closely with case managers and attorneys, negotiating settlements, and ensuring compliance with client guidelines. The...SeniorClaimsFull time
$48.3k
...servicing a robust slate of products tailored to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary and Supplemental benefits.... ...will work as part of a team and be responsible for evaluating claim eligibility, outlining claim exposure, processing payments to...ClaimsWork at office$34.8k
...Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best... ...a robust slate of products tailored to needs in Employer Stop Loss & Excess Medical; and Ancillary, Life & Supplemental benefits....ClaimsLocal area- ...Senior Vice President, Benefits About the Company Global risk management firm helping... ...wholesale strategic risk analytics claims advocacy bermuda market access... ...field. Significant experience in the medical stop loss, self-funding, or benefits consulting industry...SeniorClaims
$65k - $90k
Gilder Search Group is seeking a Workers’ Compensation Claims Adjuster in Arizona. The role involves investigating claims, evaluating losses, and managing caseloads to ensure compliance with Arizona laws. Applicants should possess strong analytical and negotiation skills...SeniorClaims$100k - $140k
...Senior Claims Specialist Headquartered in New York City with offices throughout the U.S. and in Vancouver, Canada, Hudson is a market-... ...determinations and prepare coverage position letters. Investigate losses and document all claim-handling activities. Evaluate,...SeniorClaimsWorldwide$67k - $126k
...USD $67000.00 - $126000.00 Job Category: Claims Description Are you looking for an opportunity... ...Mutual offers an exciting opening for a Senior Workers Compensation Claims Specialist... ...liability/compensability, evaluating losses, negotiating settlements and managing an...SeniorClaimsFull timeWork experience placementLocal areaRemote work- ...Senior Claim Specialist Immediate need for a talented Senior Claim Specialist with experience in the Insurance Industry. This is a 06... ...oversight that may include complex and catastrophic property losses. Makes decisions within delegated authority, recommends settlement...SeniorClaimsContract workImmediate start
$100k - $133.6k
...and modeling to minimize fraud loss exposure and negative impacts... ...fraud professionals committed to stopping criminal activity and... ...performance reports and updates for senior management Strategy Development... ...coding ability Fraud and/or Claims with focus on Deposit Fraud a...SeniorClaimsWork at officeShift workDay shift- Crum & Forster is seeking a Claims Support Specialist in Scottsdale, AZ. The role involves coordinating claims intake, assisting the claims team, and ensuring high standards of customer service. Preferred candidates should have an associate degree, 3+ years of office experience...ClaimsRemote jobWork at office
- A leading insurance provider is hiring a Claims Support Specialist in the Phoenix area to coordinate claims intake and assist the claims team. This role requires strong organizational skills and a commitment to customer service. The candidate should have a high school...ClaimsRemote jobWork at office
$68k - $98.5k
CopperPoint Insurance Companies is looking for a fully remote Workers’ Compensation Claims Adjuster Senior. This role involves analyzing and adjudicating time loss workers’ compensation claims to ensure compliance and timely payment of benefits. The ideal candidate should...SeniorClaimsRemote job- Crum & Forster is seeking a multi-talented individual for the premium accounting team in Phoenix, AZ. This position will handle premium accounting functions, interact with various internal teams, and improve operational efficiency. The ideal candidate will possess strong...Senior
$65k - $90k
The Workers’ Compensation Claims Adjuster works within a Claims Team under direct supervision and develops the knowledge and skills necessary... ...thorough investigations, determine compensability, evaluate losses, negotiate settlements, and manage a caseload of workers’...SeniorClaimsTemporary work- A leading insurance provider is seeking a sales professional to drive growth and maintain relationships with brokers and consultants. The role, which is primarily remote, involves leveraging an existing network, pursuing new business opportunities, and conducting market...SeniorRemote job
- ...Consulting Group seeks an Injury Adjuster in Phoenix, AZ to handle non-attorney soft tissue bodily injury claims. Responsibilities include confirming coverage, investigating losses, and negotiating settlements. Candidates need at least 1 year of injury adjusting experience and...SeniorClaimsWork at officeRelocation package
$38.3k
...servicing a robust slate of products tailored to needs in Employer Stop Loss & Excess Medical; and Ancillary, Life & Supplemental benefits.... ...premium activities including refunds, commissions, and claims payments. This role maintains essential registers, supports onboarding...Claims- ...be responsible to adjust attorney-involved, moderately complex claims or moderately complex to include confirming coverage, determining... ...tissue and moderately complex bodily injury claims. Investigates loss details, determines legal liability, evaluates, negotiates, and...SeniorClaimsContract workAfternoon shift
- Role Responsibilities Ensuring the delivery of timely and superior customer service through the daily total loss claims handling. Ensuring adherence to salvage requirements per state guidelines & effectively manage the negotiations of upfront storage fees and rental expenses...SeniorClaimsFlexible hours
- W. R. Berkley Corporation is seeking a Senior Litigation Specialist to handle advanced-level... ...commercial third-party general liability losses. This role may be based in our Scottsdale... ...in commercial general liability claims examination and coverage analysis. Responsibilities...SeniorClaimsWork at officeRemote work
$54.55k - $92.06k
What You’ll Do Take full ownership of complex non‑injury auto claims, including coverage analysis, liability determination, physical damage evaluation, and total loss settlements. Lead thorough investigations by analyzing police reports, claimant statements, prior loss...SeniorClaims$105k - $120k
...client, an A-rated Insurance Carrier, is seeking to add a Senior Commercial General Liability Claims Specialist to their team. This person would be... ...including Slip and Falls, Premise Liability, and Bodily Injury losses throughout the country. Responsibilities of this...SeniorClaimsRemote work- ...role plays a crucial part in maximizing revenue and minimizing losses for the organization within the Revenue Cycle Management department... ...pulls as appropriate Reviews and appeals unpaid and denied claims, includes analysis of coding that Analyze daily financial exceptions...SeniorClaims
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