- Axis (Phoenix, AZ)
- …1,000 lives and will be distributed through Managing General Agent (MGA) partnerships. The ** Stop Loss Senior Underwriter & Program Manager** will operate ... , Operations, the CUO's Office, Finance, Actuarial, and Technology. **Candidate Profile** The ** Stop Loss Senior Underwriter & Program Manager** will be… more
- Highmark Health (Columbus, OH)
- …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
- Dignity Health (Rancho Cordova, CA)
- …are vital to maintaining excellence in care and service. **Responsibilities** The Senior Claims Examiner responsibilities include Quality Review of Claims ... processing and the accuracy of member denial Letters. The Senior Claims Examiner reviews all provider payment...overpayments and repayments associated with contractual agreements through the stop loss carrier third party liabilities health… more
- Commerce Bank (Kansas City, MO)
- …of the compensation range for some roles. This compensation range is for the Loss Mitigation Specialist & Senior Specialist - Mortgage job and contemplates a ... money are taken care of. And our commitment doesn't stop there. Our culture is about our people, the...to perform the day-to-day processes related to the collections, loss mitigation, foreclosure/real estate owned (REO), and bankruptcy functions.… more
- CareFirst (Baltimore, MD)
- …requirements: Complete complex Demographically Rated and Experience Rate quotes. Complete Stop Loss and ASO quotes. Responsible for applying underwriting ... available information, factors and formulae to accurately predict future claims and non- claims expenses. Works closely with the Account Manager and Underwriting… more
- Arkansas Children's (Little Rock, AR)
- …COBRA. 3. Reconcile self-funded accounts and analyze claims identifying high-dollar stop loss claims and forecasting expenditures. 4. Produces ... daily/weekly/monthly and adhoc reports. 5. Resolve benefits issues ensuring the solution is in alignment with benefit plans. 6. Leads special projects with Benefits and other HR staff. 7. Manages the annual open enrollment process. 8. Drafts benefit… more
- Medical Mutual of Ohio (OH)
- …and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement, and ... not working properly or need to be installed so claims can be processed. Works with more senior...We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage,… more
- Medical Mutual of Ohio (OH)
- …and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement, and ... business requirements. Drives change by creating viable solutions to Claims and Customer Care. . Works independently with Information...We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage,… more
- Medical Mutual of Ohio (OH)
- …and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement and ... directly or forwards/escalates to other departments or PBM. Monitors paid claims for accuracy including for transition supply oversight. Ensures timely communication… more
- Medical Mutual of Ohio (OH)
- …and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement, and ... and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement and… more
- Medical Mutual of Ohio (OH)
- …and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement, and ... Works on various projects related to the analysis of claims , clinical and financial data, with a focus on...We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage,… more
- Lancaster General Health (Lancaster, PA)
- …ensure organizational productivity, employee retention, and employee development. + Knowledge of stop loss insurance and insurance agency development, growth and ... the creation and operation of PHC's Third Party Administration, insurance agency, and stop loss marketplace programs in the support of Eliance Health Solutions… more
- Randstad US (Lititz, PA)
- …vendor payments. + Assist senior finance specialist with analysis of data for stop loss and aggregate claim filing. + Assist senior finance specialist ... financial functions, including but not limited to consortium and cooperative accounting, stop loss reporting, aggregate reporting, billing, and cash management.… more
- Portland General Electric (Portland, OR)
- …Abilities)** **Functional Competencies** Advanced knowledge of risk management concepts including claims , insurance and loss prevention, credit analyses and ... and other forms of business risk. Identifies and analyzes potential sources of loss to minimize risk. Estimates the potential financial consequences of incurring a … more
- The Clorox Company (Oakland, CA)
- …This role will also work with internal business partners on evaluating loss control and prevention measures, employee safety issues, and fire risk. **In ... the various carriers via presentations, calls, and meetings that can include Clorox senior executive involvement. + Working closely with the brokers to negotiate and… more
- The National Radio Astronomy Observatory (Socorro, NM)
- …universe in unprecedented detail. NRAO is seeking an experienced Safety Officer or Senior Safety Officer to join our Environmental, Health, Safety , and Security EHS ... in safety investigations. In addition, if hired to the Senior level, will oversee programs that are complex in...resolve EHS issues and concerns. * Authoriz ing a stop to a work activity if continuation of such… more
- Highmark Health (Pittsburgh, PA)
- …offerings. This includes product offerings that integrate Highmark's medical, dental, vision, and stop loss capabilities, as well as the development of new ... of medical products that exceed $20 billion in annual allowed claims expense. Balancing profitability, enrollment and customer satisfaction commitments, the VP… more