- BroadPath Healthcare Solutions (Tucson, AZ)
- …and root causes of anomalies that may affect revenue + Prepare and file stop - loss claims with reinsurance carriers for high-cost or catastrophic cases + Provide ... stop - loss carriers with additional information as requested and monitor claim status to ensure timely reimbursement + Monitor stop - loss tracking systems,… 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 ... and state regulations including ERISA, ACA, HIPAA, and COBRA. **Vendor & Employee Support** + Maintain strong relationships with brokers, carriers, and third-party administrators to ensure quality service delivery. + Assist with open enrollment planning,… more
- Aulani, A Disney Resort & Spa (Kapolei, HI)
- …Child and Adult Cardiopulmonary Resuscitation (CPR), Automated External Defribrillator (AED), Stop The Bleed Training and fire extinguisher procedures to respond to ... Guard/Officer experience Successfully completed basic training in the Military Loss Prevention and/or Plain Clothes Operatives experience High pressure situational… more
- Hibbett Sports (Richmond, CA)
- …I City Gear seeks individuals with great integrity to fill positions of store loss prevention. The Asset Protection Associate is a highly visible position, the ideal ... as they leave the store and invite them back. Be prepared to stop and confront any customers that have been observed concealing merchandise. Provide detailed… more
- United Site Services (El Monte, CA)
- …business in the assigned geography. This role will have full Profit and Loss (P&L) accountability and will spearhead both sales and operational requirements to ... Excellence + Decision Making and Problem Solving + Have experience with multi- stop routing systems & dispatch procedures + Computer knowledge (Navision, Microsoft… more
- The Clorox Company (Forest Park, GA)
- …and performed at appropriate times + Reinforce purpose is to "Drive out loss " + Ensure team is finding and documenting abnormalities + Ensure operators remain ... checks for major unit ops + Call for Assistance - Escalation Plan + Minor Stop Tracking + Ensure LEDs tagging is correct + CIL - Find and Fix abnormalities… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …is right for you, we encourage you to apply! Job Description: Summary: The Stop Loss Analyst develops new business rate proposals utilizing available claim ... information provided from prospect accounts through Sales. The Stop Loss Analyst also develops renewal rates for existing group accounts utilizing claim, premium… more
- 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. Our… 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
- Elevance Health (Seven Fields, PA)
- …you will make an impact :** + Assists auditors with obtaining information for stop loss claims. + Tracks payments from third-party administrators that have been ... **Excess Loss Specialist** **Location :** This role enables associates...accommodation is granted as required by law._ The **Excess Loss Specialist** is responsible for working independently reviewing claims… more
- Access Dubuque (Dubuque, IA)
- …a knowledgeable and client-focused Benefits Captive Consultant with expertise in stop - loss insurance to support the design, implementation, and management ... advising employers and brokers on alternative risk financing strategies, optimizing stop - loss arrangements, and ensuring compliance with regulatory and… more
- Elevance Health (St. Louis, MO)
- …Auditor II** is responsible for audits of high dollar claims across the stop loss business, including specialized claims, working independently and without ... is responsible for auditing of high dollar claims across the stop loss business, including complex specialized claims within Service Experience. Serves as… more
- HUB International (Pittsburgh, PA)
- …Pharmacy practice to evaluate both integrated and carved-out PBM options. + Evaluate Captive Stop Loss options to evaluate alongside traditional Stop Loss ... key attributes related to each line of coverage (Medical, Prescription Drug, Stop Loss , Dental, Vision, Life, Disability, etc.) + Experience with RFP management… more
- The Cigna Group (Franklin, TN)
- …individual will be responsible for developing and executing strategic initiatives related to Stop Loss (SL) broker compensation and analytics. This role will ... across teams to drive impactful outcomes. **Responsibilities** + Develop and propose the Stop Loss broker compensation strategy, subject to approval by Stop … more
- Highmark Health (Oklahoma City, OK)
- …recommendations or proposals for action. Interns will acquire practical business experience in stop loss underwriting while working with Stop Loss ... underwriting experts. **REQUIRED QUALIFICATIONS** + Full or part-time enrollment in an accredited college or university baccalaureate program. **PREFERRED ANTICIPATED GRADUATION DATES** + Spring 2026 + Summer 2026 + Winter 2026 + Spring 2027 **ESSENTIAL JOB… 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
- 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 ... marketing team. The FA prepares spreadsheets to display and communicate fees, premiums, total cost, and claims experience in a professional format to present to clients. The primary job of the FA is to meet the financial needs of the client in a supportive… 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
- 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
- WTW (New York, NY)
- …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
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