- Highmark Health (Olympia, WA)
- … in accordance with department standards. **ESSENTIAL RESPONSIBILITIES** + Processes daily incoming Stop Loss claims including initial entry claims ... experience with medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise… more
- CVS Health (Amherst, NY)
- …This challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/ stop loss , data analytics, provider ... expert between our internal and external stakeholders and the stop loss administrators. Managing stop ...Qualifications** *Minimum of 1 year of experience in healthcare claims processing *Minimum of 2 years of experience with… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …the following job description:** This role is responsible for managing key stop loss client accounts, nurturing strong and trusted relationships, overseeing ... team to develop renewal strategies and ensure client retention. Serve as a stop loss subject matter expert for Account Management team and the organization.… more
- Elevance Health (Latham, NY)
- …Will Make an Impact** Primary duties may include, but are not limited to: + Calculates stop loss rates for complex group cases based on thorough analysis of the ... Group Underwriter Senior **Location:** This role requires associates to be...LOMA, HIAA or other insurance related courses preferred. + Stop Loss underwriting experience preferred + Demonstrated… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …and maintain strong client relationships with employee benefit brokers and consultants, stop loss carriers, and various clinical point solutions providers. ... stop - loss . In-depth knowledge of Self-funded employee benefit plans, stop loss insurance, and risk management principles. CERTIFICATIONS, LICENSES,… more
- Providence (Mission Hills, CA)
- … Claims Specialist is responsible for the processing of complex institutional claims ( stop loss , contracted, non-contracted, per diem, case rate etc.) ... and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims … more
- Elevance Health (Winston Salem, NC)
- …** Claims Auditor Senior ** is responsible for auditing of high dollar claims across the stop loss business, including complex specialized claims ... ** Claims Auditor Senior ** **Location :** This...** Claims Auditor Senior ** **Location :** This role enables associates to...an impact** : + Performs audits of high dollar claims . + Ensures claim payment accuracy by verifying various… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …plan performance against benchmarks and internal targets, identifying emerging risks related to claims volatility, stop - loss and value-based care programs. + ... contribute to the diversity and excellence of our academic community. **Description** The Senior Director of Finance will serve as the financial leader of the Emory… more
- Axis (Red Bank, NJ)
- …to engage in reinsurance pricing efforts. Products supported by the department include Stop - Loss , Short Term Medical/Limited Medical, Excess of Loss , Pet ... is available upon request for candidates taking part in the selection process. ** Senior A&H Pricing Actuary** **How does this role contribute to our collective… more
- Geisinger (Danville, PA)
- … Senior Underwriter with strong expertise in Administrative Services Only (ASO), Stop Loss , and pharmacy risk evaluation to join our dynamic team. ... and pricing strategies to achieve target financial results. + Analyze claims experience, demographics, benefit plans, group attributes and competitor data. Applies… more
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