- CRC Insurance Services, Inc. (Phoenix, AZ)
- …the following job description:** This role is responsible for managing key stop loss client accounts, nurturing strong and trusted relationships, overseeing ... team to develop renewal strategies and ensure client retention. Serve as a stop loss subject matter expert for Account Management team and the organization.… more
- Elevance Health (Woburn, MA)
- …Will Make an Impact** Primary duties may include, but are not limited to: + Calculates stop loss rates for complex group cases based on thorough analysis of the ... Group Underwriter Senior **Location:** This role requires associates to be...LOMA, HIAA or other insurance related courses preferred. + Stop Loss underwriting experience preferred + Demonstrated… 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
- Providence (Mission Hills, CA)
- … Claims Specialist is responsible for the processing of complex institutional claims ( stop loss , contracted, non-contracted, per diem, case rate etc.) ... and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims … more
- 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 Senior ** **Location :** This...** Claims Auditor Senior ** **Location :** This role enables associates to...an impact** : + Performs audits of high dollar claims . + Ensures claim payment accuracy by verifying various… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …plan performance against benchmarks and internal targets, identifying emerging risks related to claims volatility, stop - loss and value-based care programs. + ... contribute to the diversity and excellence of our academic community. **Description** The Senior Director of Finance will serve as the financial leader of the Emory… more
- HUB International (New York, NY)
- …including terms and conditions for presentation + Coordinating loss run delivery, loss summaries, detailed claims summaries, and loss displays for ... policy changes throughout the term + Serving as a Senior AE contact for the client - first ...Senior AE contact for the client - first stop on coverage questions and higher-level inquiries + Performing… more
- Axis (Red Bank, NJ)
- …to engage in reinsurance pricing efforts. Products supported by the department include Stop - Loss , Short Term Medical/Limited Medical, Excess of Loss , Pet ... is available upon request for candidates taking part in the selection process. ** Senior A&H Pricing Actuary** **How does this role contribute to our collective… more
- CareFirst (Baltimore, MD)
- …process includes the following requirements: completing group risk renewals, completing ASO/ Stop Loss renewals, quoting alternate benefits designs, funding ... basic (Demographically Rated) quotes. Completing Complex (Experience Rated) quotes. Completing Stop Loss and ASO quotes. Applying underwriting judgment when… more
- Washington Suburban Sanitary Commission (WSSC) (Laurel, MD)
- …such as partial or full self-funding and recommend retention levels and stop loss limits, etc. * Monitors claims activity and reviews claims reserves ... Position Summary Information General Summary TheSr. Strategic Financial Advisorprovides senior -level internal financial consulting services in support of key… more
- AdventHealth (Altamonte Springs, FL)
- …actuarial functions, eg, claims completion, seasonality analysis, risk scoring, and stop loss analysis is also essential. Ideal experience is in the ... solving and computational skills is essential. Additionally, working knowledge and understanding of major medical claims , insurance contracts, and the traditional… more
- Robert Half Finance & Accounting (Lititz, PA)
- …manner. * Provide support to senior finance specialists in analyzing data for stop loss and aggregate claim filings. * Assist in the preparation of financial ... opportunity to contribute to critical accounting processes and collaborate with senior team members to support financial operations. Responsibilities: * Manage… more