- Highmark Health (Oklahoma City, OK)
- …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
- 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 ... individual plans. **Responsibilities** Senior Employer Group Consulting Analyst Design and execute analyses and reports for clients...We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage,… more
- Cedars-Sinai (CA)
- …by United HealthCare and submits for payment + Monitors high-cost cases and bills for stop loss recoveries + Prepares claims listings for third party ... for processing and reporting revenue recovery activities, including insured services, stop loss and third-party liability. Job Duties and Responsibilities:… more
- HUB International (Nashville, TN)
- …support analytical work regarding projections and other estimates. Additionally, they coordinate and manage Stop Loss RFP's with our internal stop loss ... and involvement through HUB Gives **SUMMARY:** A Senior Financial Analyst (FA) assists the Financial Consultants (FC) in the...to display and communicate fees, premiums, total cost, and claims experience in a professional format to present to… more
- Amazon (San Francisco, CA)
- …funding and scoring performance compared to plan expectations. -Complete the evaluation of stop - loss coverage and manage third party vendors -Analyze and develop ... Description Amazon One Medical is hiring a Actuarial Manager Analyst . Actuarial rigor is one of the keys to...forecasting and medical economics -Expertise in working with medical claims data and using programming languages such as SQL,… more
- Austin Industries (Dallas, TX)
- …Responsible for administration of the self-insured medical plan, including vendor selection for claims processing, stop - loss insurance, and actuarial work. + ... Works with accounting department to ensure proper financial practices are followed, including maintenance of proper claim reserve level, reconciliation to general ledger, banking transactions, and claim and expense projections. + Responsible for all fully… more