- CVS Health (Plymouth, MN)
- …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
- 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 enables associates to work...LOMA, HIAA or other insurance related courses preferred. + Stop Loss underwriting experience preferred + Demonstrated… more
- Highmark Health (Pierre, SD)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- UMB Bank (Kansas City, MO)
- …determining how fraud is happening, where it is happening, and how can they put a stop to it. Fraud Claims Analysts work closely within their team environment to ... across multiple departments to help customers and the bank, Claims Analysts help customers and the bank get back...and the bank get back millions of dollars in loss . The Fraud department prides in taking on wrongful… more
- Commerce Bank (Kansas City, MO)
- …and making sure people and their money are taken care of. And our commitment doesn't stop there. Our culture is about our people, the ones in our communities and the ... job is to perform the day-to-day processes related to the collections, loss mitigation, foreclosure/real estate owned (REO), and bankruptcy functions. The primary… more
- CVS Health (Santa Fe, NM)
- …financial models in Excel and Salesforce. + Market and place stop loss policies, negotiating terms based upon claims data, strategy, relationships and cost ... and existing business quotations and proposals including administrative fee pricing, stop loss , RFP questionnaire responses, and plan consultation. This… 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
- HCA Healthcare (Nashville, TN)
- …Accounts (HRA), vision, LTD, STD, life insurance, benefits administration fees, EAP, COBRA, Stop Loss and various voluntary plans and make reporting available ... join an organization that invests in you as a Senior Financial Analyst? At HCA Healthcare, you come first....allocation database that includes facility level detail on self-insured claims , fully insured premiums and ASO administration expense for… 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
- HUB International (New York, NY)
- …on self-funded and large fully insured clients, as appropriate + Secure stop - loss coverage for self-insured clients, as appropriate **Knowledge/Skills & ... unique, regional culture. We are currently looking for an ** Senior Account Executive & Team Lead** to join our...+ Promote Teamwork + Develop strong relationships + Oversee claims and administrative issues and ensure resolution + Act… more
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