• Senior Stop Loss…

    Highmark Health (Sacramento, CA)
    …making a big impact for those we serve. **ESSENTIAL RESPONSIBILITIES** + Processes daily incoming Stop Loss claims including initial entry claims or ... experience with medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise… more
    Highmark Health (04/26/25)
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  • Senior Medical Stop Loss…

    Highmark Health (Sacramento, CA)
    …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
    Highmark Health (04/30/25)
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  • Associate Medical Stop Loss…

    Highmark Health (Sacramento, CA)
    …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... of financial exhibits. This is an entry level position, with oversight by Senior Underwriters and/or Management until the individual is acclimated to the Company… more
    Highmark Health (04/04/25)
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  • Claims Processor Lead

    Dignity Health (Rancho Cordova, CA)
    …The Lead will have knowledge and ability to perform all Daily Operations that the Senior Claims staff is responsible for. This position will report directly to ... assignments. This position will perform the duties of the Senior Claims Examiner when needed. These duties...plan audits, appeals and PDR's, recovery of overpayments and stop loss , and support to the staff… more
    Dignity Health (04/11/25)
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  • Senior Director Product Development…

    Providence (Irvine, CA)
    …of the self-insured employer market, including ERISA, ASO arrangements, TPA, Stop Loss /Reinsurance, and PBM. + **Analytical Expertise:** Exceptional ability ... you, we have an unparalleled opportunity awaiting you! **The Role** As the Senior Director of Product Development, you will spearhead the successful growth and… more
    Providence (03/22/25)
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