- CVS Health (Harrisburg, PA)
- …And we do it all with heart, each and every day. **Position Summary** As part of the Stop Loss Center of Excellence, this role will be supporting the Stop ... strategic goals through effective underwriting. Identifies and manages risk, focused on stop loss risk, to maximize revenue, membership, and earnings. Performs… more
- Highmark Health (Topeka, KS)
- …**Job Description :** **JOB SUMMARY** This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with ... those we serve. **ESSENTIAL RESPONSIBILITIES** + Processes daily incoming Stop Loss claims including initial entry claims...health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years of experience in… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …and maintain strong client relationships with employee benefit brokers and consultants, stop loss carriers, and various clinical point solutions providers. ... stop - loss . In-depth knowledge of Self-funded employee benefit plans, stop loss insurance, and risk management principles. CERTIFICATIONS, LICENSES,… more
- DriveTime (Dallas, TX)
- …in the future are not eligible for hire at this time._ In short, as a Senior Analyst, Loss Mitigation, you will apply your analytical and strategic skills as you ... build, and develop the business case for major company initiatives. What's great about loss mitigation is you will see immediate impacts to the company's P&L from… more
- Elevance Health (Boston, MA)
- …Auditor II** is responsible for audits of high dollar claims across the stop loss business, including specialized claims, working independently and without ... responsible for auditing of high dollar claims across the stop loss business, including complex specialized claims...Medical Policy and Clinical Guidelines. + **Claims Auditor Senior ** - all the above, plus : Service as… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …with a strong emphasis on pharmacy pricing, carve-in/carve-out strategies, and stop - loss evaluations. The position requires strategic thinking, data-driven ... fully insured and self-insured environments. They bring expertise in pharmacy pricing, stop - loss strategies, and analyzing complex data to build competitive… more
- HUB International (Brentwood, TN)
- …like-minded, leading edge talent and organizations. The result is a one- stop source for insurance solutions **Job Summary** Investigate, evaluate, and adjudicate ... truck drivers. This includes, but is not limited to, coverage verification, medical management, communicating with Insured's, Claimants, Attorneys and medical … more
- Valmont Industries, Inc. (Houston, TX)
- …to reject material, stop work in process etc. to minimize financial loss and risk of customer dissatisfaction. + Works under production conditions with accurate ... reports to the Quality Supervisor. The NDT Inspector - Senior will evaluate the assembly of fabricated materials by...or location and can include the following: + Healthcare ( medical , prescription drugs, dental and vision) + 401k retirement… more
- Rhythm Pharmaceuticals (Boston, MA)
- …decision-making and/or + Commercial self-insured employer segment, including TPAs, PBMs, and stop - loss carriers + Demonstrated success in building and managing ... learn, and our tenacity to overcome barriers, together. Opportunity Overview The Senior National Account Director (NAD) will be a field-based strategic leader… 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 with federal ... **Position Summary** The Senior Benefits Specialist supports the design, administration, and...company match (no cap)** and immediate 100% vesting + Medical , dental, and vision insurance **(100% paid for employee)**… more
- HCA Healthcare (Tallahassee, FL)
- …**Introduction** Do you have the career opportunities as a Clinical Nurse Coord Medical Surgical Oncology you want in your current role? We invest in what ... The available plans and programs include: + **Comprehensive benefits** for medical , prescription drug, dental, vision, behavioral health and telemedicine services +… more
- VF Corporation (New York, NY)
- …+ Loss Prevention, Safety, and Compliance: Partners with the Senior Store Manager to ensure compliance and adherence to policies and procedures, ... to enable and inspire athletes and enthusiasts to Never Stop Exploring. We** **remain** **deeply proud to be the...on the sales floor, the Co-Manager partners with the Senior Store Manager to maximize profitability by ensuring that… more
- HUB International (Berkeley Heights, NJ)
- …analysis on self funded and large fully insured clients, as appropriate (yours and Senior AE book) + Secure stop - loss coverage for self-insured clients, ... and wealth management products and services. But we don't stop there - we also invest deeply in our...of accounts for all health and welfare plans including medical , dental, short and long term disability, vision, life/AD&D,… more
- Amazon (Denver, CO)
- Description Application deadline: Jan 3, 2026 AWS is seeking a Senior Business Operations Lead, to lead drive data-driven decision-making and operational excellence ... growing, complex environment. Working closely with APO Tech leadership, the Senior Business Operations Lead develops, implements, and manages sales processes,… more
- WTW (Stamford, CT)
- …on funding strategies, underwriting pools, credibility methods, pooling point analysis, and stop - loss solutions to optimize risk management. + Carrier and Market ... + Deep understanding of employer health risk management strategies, including stop - loss , credibility, and rating mechanics. + Experience advising small… more
- Amazon (Austin, TX)
- …validation of AWS next generation ML Chips, Cards and server integration. As a senior member of our hardware team, you will have the outstanding and meaningful ... (CORE) and AmazeCon (gender diversity) conferences, inspire us to never stop embracing our uniqueness. Work/Life Balance We value work-life harmony. Achieving… more
- Always Best Care Senior Services (Marlborough, CT)
- …Cancer Rider, Intensive Care Rider, Hospitalization Rider) * Life Insurance * Low Cost Medical Insurance * Dental * Vision * Refer a friend program * Employee CARES ... Submit a resume and cover letter on Indeed * Stop in at our office location for an application...caregiver Personal Care Assistant must have experience with dementia/memory loss care , Always Best Care is looking for… more
- Savers | Value Village (Bohemia, NY)
- …training to every team member across our organization - from new hires to senior executives. We develop around 90% of our training internally, and partner with a ... Benefits offerings including: + Bundled health plans such as medical , Rx, dental and vision + Company-paid life insurance...extra protection and peace of mind + Programs to stop smoking, diabetes management coaching, and on demand care… more
- Savers | Value Village (Marlborough, MA)
- …training to every team member across our organization - from new hires to senior executives. We develop around 90% of our training internally, and partner with a ... Benefits offerings including: + Bundled health plans such as medical , Rx, dental and vision + Company-paid life insurance...extra protection and peace of mind + Programs to stop smoking, diabetes management coaching, and on demand care… more
- Savers | Value Village (Woodbridge, VA)
- …training to every team member across our organization - from new hires to senior executives. We develop around 90% of our training internally, and partner with a ... Benefits offerings including: + Bundled health plans such as medical , Rx, dental and vision. + Company-paid life insurance...extra protection and peace of mind. + Programs to stop smoking, diabetes management coaching, and on demand care… more