• Senior Stop Loss…

    Highmark Health (Raleigh, NC)
    …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 (12/23/25)
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  • Claims Auditor I, II & Senior

    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 I, II and Senior **...an equivalent background. **Preferred Skills, Capabilities & Experiences:** + Stop loss claims experience highly… more
    Elevance Health (01/01/26)
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  • VP, Dental Operations (ACS Benefit Services)

    BlueCross BlueShield of North Carolina (NC)
    …appeals, and audit requirements. + Familiarity with ancillary products (COBRA, Stop - Loss , HSA/FSA, HDHP) and their operational, regulatory, and compliance ... the development, oversight, and execution of all dental operations, including claims adjudication, customer service, appeals, and reporting. This role provides… more
    BlueCross BlueShield of North Carolina (12/18/25)
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