- Axis (Alpharetta, GA)
- …available upon request for candidates taking part in the selection process. **Employer Stop Loss - Senior Underwriter & Program Management** **Hybrid Chicago, ... Alpharetta** **Job Description** **AXIS Group Benefits** will enter the US Employer Stop Loss (ESL) market in early 2025. This solution will target employers… more
- The Cigna Group (Chattanooga, TN)
- This leadership role will be the owner of our Stop Loss business. Cigna leads the nation with the most Stop Loss revenue. The Stop Loss book of ... revenue annually with earnings of approximately $1B. The senior director of Stop Loss will be responsible for protecting and growing this business through… more
- CVS Health (Plymouth, MN)
- …exposure to virtually all aspects of healthcare claims administration, from reinsurance/ stop loss , data analytics, provider and broker relations, underwriting, ... and subject matter expert between our internal and external stakeholders and the stop loss administrators. Managing stop loss claim filings, you will… more
- TEKsystems (Oakbrook Terrace, IL)
- Description: Stop Loss Claims Analyst is a professional who specializes in managing and analyzing health insurance claims, particularly those that exceed a ... certain threshold, known as " stop loss " claims. Here are some key responsibilities and aspects of the role: Review, analyze, manage and adjudicate claims on all… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …for a variety of customer facing activities including the set-up and support of Stop Loss reporting, the set-up of large data files for external customers, ... both Sales and external customers with questions and requests related to our Stop Loss product and reporting, as well as, the BlueInsights reporting tool. The… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement, and ... health products.** **Administers the terms of the group's contracts including stop loss settlements and ERISA filing information.** **Performs an… more
- Motion Recruitment Partners (Durham, NC)
- …reporting, and presentation of historical and/or forecasted financial claims expense and stop loss coverage information. + Support preparation of invoicing and ... of financials for loss coverage for employer groups or stop loss vendors based on actual high dollar claims and/or claimants' performance, previous… more
- UPMC (Pittsburgh, PA)
- …Accounts Receivable Claims Analyst is to ensure all HRA, FSA , ASO & Stop Loss related reporting & reconciliation, claims utilization billing, and employer group ... our external employer group customers that have our HRA, FSA, ASO & Stop Loss product offerings. This position allows a flexible hybrid work schedule. A minimum… more
- HUB International (San Francisco, CA)
- …IA platform. Also serves as a resource liaison between vendors, such as stop loss carriers, point solutions, clients and HUB International producers, ... such as HUB's MDs, DNPs, PharmDs and RNs. + Supports HUB's stop loss partners with collaborative services related to pre-identification catastrophic risk, 50%… more
- Highmark Health (Sacramento, CA)
- …and work with other partners in the promotion of a core product line: Employer Stop Loss and other lines as determined by management. This sales position will ... a valid driver's license and reliable transportation. **This role is selling HM Stop Loss products. Looking for someone who lives in Northern California as the… more
- CVS Health (Plymouth, MN)
- …of service/supply/drug (manual calculation of U&C), provider contact information, evaluating stop loss implications, confirmation of network status of provider, ... eligible services, rework, referring cases to Special Investigation unit, to stop loss carrier coordinator, to client management team, and networking to handle… 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 ... knowledge of health insurance products; sales and industry processes including underwriting, stop loss , benefit plan design; health care funding arrangements;… more
- Highmark Health (St. Paul, MN)
- …SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight ... issues. **ESSENTIAL RESPONSIBILITIES** + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management… more
- Robert Half Legal (Durham, NC)
- …hold of claims, administrative fees, and employer group settlement. * Determine eligibility for stop loss coverage on specific claims based on contract terms. * ... of reports and analysis for various audiences such as Self-Funded Groups, Employer Stop Loss Vendors, and Sales Underwriting. Requirements Required HS Diploma,… more
- Trustmark (Lake Forest, IL)
- …forecasting and business review process, managing the annual budget process, 3-year plan, stop loss and plan year accounting, ICFR compliance and conducting ... projections. Review and approve all CBA's that affect SBB. + SBB Finance Operations: Stop loss and plan year accounting for block of business + Serves as primary… more
- Medical Mutual of Ohio (Dublin, OH)
- …and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement, and ... plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- Medical Mutual of Ohio (Dublin, OH)
- …and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement, and ... plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement, and individual plans.… 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 ... plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement, and ... plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement, and ... plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement and individual plans.… more
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