- Highmark Health (Sacramento, CA)
- … 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
- Elevance Health (Los Angeles, CA)
- …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
- 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
- Southland Industries (Garden Grove, CA)
- …+ Collaborate with Finance and brokers to evaluate self-insured program performance, stop - loss coverage, and claims experience. + Ensure compliance ... **POSITION SUMMARY** The Senior Benefits Specialist supports the design, administration, and continuous improvement of employee benefits programs, with an emphasis… more
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